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Student Impact Reflection Form
At The Light House we strive to provide students with both an educational and enriched volunteer experience. All students are required to complete the Student Impact Reflection Form prior to requesting Service Hour Recognition.
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Email *
First Name *
Last Name *
Preferred Pronouns 
School *
What service opportunity did you participate in *
If you provided UNBagged Lunches or kits of any kind, please list type and quantity.  If you did not participate in this opportunity, please put N/A in the answer block. *
If you participated in either Other Off Site or  Other On Site Volunteer opportunity, please name or describe the opportunity. If you did not participate in either of these opportunities, please put N/A in the answer block. *
Why did you choose to volunteer in this area? *
If you provided items through In-Kind Donation drive, please provide a summary of items collected, the goals of your drive and how you advertised your drive. If you did not participate in this opportunity, please put N/A in the answer block. *
How do you feel your volunteering has impacted the community served at The Light House? *
How did this volunteer experience affect your views on housing insecurity and/or food/basic needs insecurity? *
What did you learn about our community through this volunteer opportunity? *
What did you learn about yourself through this volunteer opportunity? *
Did the volunteer opportunity at The Light House encourage you to continue to volunteer in the future, either with The  Light House or other organizations? *
Please select all boxes that apply for Student Service Recognition. Please allow 24-48 hour turnaround time for all verifications and please note, that verifications come from, which may go into spam folders. If you do not receive your verification, please check your spam folder first and then email the volunteer inbox about your verification. Thank you for your service and for completing the Student Impact Reflection Form! *
A copy of your responses will be emailed to the address you provided.
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