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Marywood University Community Service Approval Form
Please use this form only if your club or organization is planning to coordinate your own group service activity or event. Campus-sponsored events (i.e. Kidstuff, Fall Fest, Blood Drives) do not require this form for approval to participate. If you have any questions or concerns, please email
communityservice@m.marywood.edu
or call 570-961-4723.
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* Indicates required question
Campus Organization Name
*
List the name of your club, organization, team, residence hall, group, etc. Or if you are not part of a group, enter "Individual".
Your answer
Your Name
*
Your answer
E-mail
*
Your answer
Phone
*
Your answer
What is your role with this group?
*
List: President, Team Captain, RA, Service Coordinator, Chairperson etc.
Your answer
Advisor Name
Your answer
Name of Service Activity or Program
*
For example, "Relay for Life", "Music for Seniors", "Easter Egg Hunt"
Your answer
What type of Service Activity or Program is this?
*
Select all that apply.
Hands-on service activity (actively serving on-site of the agency or with people)
Fundraiser (proceeds of sales intended to benefit an agency or paying to participate in an event that benefits an agency)
Awareness Campaign (public education about an important issue)
Service Trip (traveling further than 1 hour away from University or staying overnight)
Material Donation Drive (coats, toiletries, toys, etc.)
Other:
Description of Service Activity or Program
*
Explain what volunteers will do to benefit an agency or a cause.
Your answer
What is your intention or desired outcome of this service activity?
*
To raise awareness, show support, bridge gaps between people, educate, empower, etc.
Your answer
Scheduled Date/Time of Project/Program
Your answer
Location of Activity or Program
*
The place where the volunteers will do the activity.
Your answer
Does your Service Activity/Program include campus publicity or awareness-raising information that you intend to post or distribute on campus?
*
If yes, please send a copy of your materials (as an attachment) directly to
communityservice@m.marywood.edu
or include a link in the space below.
Yes
No
Any additional information you would like to include?
Your answer
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