义务服务活动申请表

活动名称

负 责 人

联系电话

活动时间

活动地点

参加人数

义务服务分队负责人意见：                                                                                                                                                                                                                                      负责人签字                                                                                                                                                 年   月   日

义务服务总队意见：                                                                                                                                                                                                                                   负责人签字                                                                                                                                                        年   月   日