RCHS COMMUNITY SERVICE PROGRAM             2025-2026 PRE-APPROVAL FORM 
Please complete this form AT LEAST 72 hours BEFORE you are scheduled to start the actual service. Use this form for EACH different opportunity.
Email *
Student Personal Email *
Student Legal First Name *
Student Last Name *
Student Middle Initial *
Student Graduation Year *
Prospective Organization/Company Name *
Name of Prospective Organization/Company Representative Provided *
Prospective Agency/Organization/Company Telephone Number, web address, and/or email address *
Are you related to the Prospective Organization/Company Representative that will supervise you? *
Required
What is the Name of the Activity/Event/Service Opportunity? *
Please describe the specific details/duties/activities you will be asked to complete. *
When will this service potentially take place. *
Required
The prospective Organization/Agency/Company is which of the following below?  *
Required
A copy of your responses will be emailed to .
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