EmailMeForm
MCSL Student Service Hours (SSL) Verification
This form must be submitted annually to verify your team's eligibility to issue Student Service (SSL) hours for volunteer activities.
For non-county pools: Proof of liability insurance must be submitted with this form as well as a description of what the students will be doing to obtain the SSL hours.
For county pools: Proof of liability insurance is not required. However, a description of what the students will be doing to obtain the SSL hours is required.
You will receive an email upon receipt. Please email ssl@mcsl.org if you do not receive a response within 48 hours.
Name of MCSL Team's SSL Coordinator
*
First
Last
Email Address of Team's SSL Coordinator
*
MCSL Team
*
Please select
A- Ashton
ARH- Arora Hills
B - Bannockburn
BE - Bethesda
C - Cederbrook
CA - Calverton
CB - Connecticut Belair
CCR - Chevy Chase Rec
CG - Country Glen
CLK - Clarksburg Village
CLM - Clopper Mill Kingsview
CS - Carderock Springs
CTC - Clarksburg Town Center
D - Daleview
DA - Damascus
DF - Diamond Farm
DT - Darnestown
EW - Eldwick
FH - Flower Hill
FM - Fallsmead
FO - Forest Knolls
FR - Franklin Knolls
FV - Flower Valley
G - Glenwood
GER - Germantown
GM - Glenmont
GP - Garrett Park
H - Hillandale
HA - Hallowell
IF - Inverness Rec Club
JC - James Creek
K - Kenmont
KFM - King Farm
KL - Kentlands
KM - Kemp Mill
LB - Long Branch
LF - Little Falls
LLD - Lakelands
LM - Lake Marion
MB - Middlebridge
MCF - Manchester Farm
MCT - Mill Creek Towne
MM - Merrimack Park
MO - Mohican
MS - Montgomery Square
MW - Manor Woods
NCC - North Chevy Chase
NGV - Norbeck Grove
NH - Norbeck Hills
NMC - New Mark Commons
NO - North Creek
NWB - Northwest Branch
OF - Old Farm
OG - Old Georgetown
OM - Olney Mill
PA - Palisades
P - Parkland
PGL - Potomac Glen
PL - Poolesville
PLT - Plantations
PO - Potomac
PR - Poplar Run
PW - Potomac Woods
QO - Quince Orchard
QV - Quail Valley
RC - Rock Creek
RE - Regency Estates
RF - River Falls
RH - Robin Hood
RS - Rockshire
RV - Rockville
SB - Stonebridge
SG - Stonegate
SL - Seven Locks
SO - Somerset
TA - Tanterra
TB - Twinbrook
TF - Twin Farms
TH - Tallyho
TW - Tilden Woods
UC - Upper County
W - Whetstone
WCF - Woodcliffe
WG - Woodley Gardens
WHI - West Hillandale
WL - Westleigh
WLP - Willows of Potomac
WM - Wildwood Manor
WTL - Waters Landing
WWD - Washingtonian Woods
Name of First Alternate Contact
First
Last
Email Address of First Alternate Contact
Name of Second Alternate Contact
First
Last
Email Address of Second Alternate Contact
Please provide a description of the activities that will be performed to obtain SSL hours
*
Please upload proof of liability insurance. Please ask your insurance agent for an Acord form. Click the link below for a sample form:
Sample Acord Form
*