Statutory Declaration of Volunteer or Work Experience Hours

STATUTORY DECLARATION OF VOLUNTEER OR WORK EXPERIENCE HOURS

I, ______, of ______, in the Province of Ontario, SOLEMNLY DECLARE that:

1. I performed volunteer or work experience with ______, in the role of ______.

2. I carried out this work from ______ to ______, completing a total of ______ hours.

3. The supervisor or contact who can confirm this, where applicable, is ______.

4. To the best of my knowledge, the hours stated are true and accurate.

5. I make this declaration for the following purpose: ______.

I make this solemn declaration conscientiously believing it to be true and knowing that it is of the same force and effect as if made under oath.

DECLARED before me at the ______________________ of ______________________, in the Province of Ontario, this ______ day of ______________, 20______.

_______________________________ _______________________________

A Commissioner for taking Affidavits Signature of Declarant