Neumann University Community Service Reporting
Use this form to report community service. Community Service is defined as activites designed to improve the quality of life of off-campus community residents, particularly low income individuals. Community service can be direct or indirect service.
First and Last Name of person filling out form
Your answer
Email address
Your answer
Cell Phone Number
Your answer
Organization Type
Club/Class/Team Name
Give the name of your Organization
Your answer
Community Partner Served
Give the name of the Organization that you worked with
Your answer
Contact information for Community Partner
Give the name of the Contact Person and their email/phone
Your answer
Description of Community Service Project
Please list each project on separate form
Your answer
Date(s) of Project
Your answer
Number of students involved
Your answer
Names of students involved
Please separate with commas
Your answer
Total Hours spent on project
Number of students times number of hours spent by each on the project = Total Hours spent on project (show your work)
Your answer
Number of people served and how did those people benefit from the project
Your answer
Description of Reflection process
Your answer
Check the category that this service would be classified
Required
Would you be interested in submitting this project for the President's Community Service Honor Roll?
Submit
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