Community Service Summary Form
Please complete this form for EACH service project that your club/team/organization has completed this year. E-mail communityservice@m.marywood.edu or call Ann x4593 with any questions.
Group Type or Individual
Required
Name of Group/Club/Team or Individual
Your answer
Group Contact Person
Your answer
Contact Person Phone
Your answer
Contact Person E-mail
Your answer
Name of Service Activity
Your answer
Date of Service Activity
Your answer
Community Agency Name
What organization did you serve at? Or who benefited from your project?
Your answer
Description of Service Activity
Describe what you did.
Your answer
Total Number of People Who Participated in this Service Activity
Your answer
Total Number of Hours Completed by All Participants
Example: If 10 people each volunteered for 2 hours, the total hours of service = 20)
Your answer
How many people were SERVED?
20 kids at after-school program, 50 residents at the Senior Prom, 1 family of Habitat home, etc.
Your answer
IF YOUR GROUP SPONSORED A CHARITY FUNDRAISER OR CAMPUS COLLECTION, PLEASE ALSO COMPLETE THE FOLLOWING:
Total Amount of $ or Items Collected
(45 cans of food, 100 coats, $200, etc.)
Your answer
Please share a story based on this service experience. How did it impact you or other volunteers? How was your service received by the organization or people you served?
We may use your story in publicity or yearly reports on the impact of Marywood's service on our community.
Your answer
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