YOUTH VOLUNTEER SERVICE RECOGNITION CHAPTER SUMMARY ONLINE FORM

We must encourage young people to not only be future leaders but servant leaders for a lifetime.  Jack and Jill of America, Incorporated proudly continues our Youth Volunteer Service Award (YVSA) program. The YVSA will recognize our children/teens by issuing certificates and medals. Any Jack and Jill youth that performs at least 25 hours of community volunteer service between June 1, 2021 – May 15, 2022 is eligible to receive a certificate, and if eligible, a medal from Jack and Jill of America, Incorporated.

  • Please indicate your officer position in your local chapter.
  • Only one submission per chapter should be entered by the Chapter Community Service Chair, Chapter Foundation Chair, or Designee. To add names, simply click on the "+" button at right.
    First NameLast NameGradeAge (as of May 15, 2022)Total Hours 
  • Certificates will be sent digitally to the email address on this form above. Please indicate if you prefer completed digital templates or a blank fillable template. Estimated dates of receipt are Summer 2022 for the blank fillable template and Early Fall 2022 for completed digital certificates.