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2023-2024 Community Service Summary Form
Please complete this form for EACH service activity your club/team/organization has participated in this year.
  • All clubs & organizations are required to submit this summary form within one week AFTER the project is completed

  • This form helps the University know the many and varied ways in which our students are contributing to the community.

  • Email or call 570-961-4593 with any questions.

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Name of your Campus Organization *
Your Name *
Email Address *
Phone  *
What is your role with this group? (President, Team Captain, RA, Service Coordinator, Member, etc) *
Name of Club/Organization Advisor *
Name of Service Activity  (i.e. "Relay for Life", "Thanksgiving Adopt A Family", "Trunk or Treat") *
Scheduled Date and Time of Program *
Description of the Service Activity (Describe what your group did and, if applicable, the community agency with which you partnered for the project.) *
Total number of Group Members who Participated in this Service Activity *
Total Number of Hours Completed by All Participants (Example: If 10 group members volunteered for 2 hours, then the total service hours = 20). *
How many people were served? (Example: 20 children in an after-school program) *
If your group sponsored a charity fundraiser or campus collection, please list total amount collected. (Example: $200 for Thanksgiving Adopt A Family, 100 winter coats, 50 cans of food, etc).
How did this service activity impact your group members? How was the service provided received by the organization or community? (Note: Your response may be used in publicity or annual reports on the impact of Marywood's contributions to the community). *
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