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Mu Omicron Community Service Volunteer Form
Please complete this form to record and track community service hours, monetary donations, or monetary amounts for items purchased for projects.
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Email
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Your email
What is your name (First & Last)
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Your answer
Date of volunteer activity or date of donation
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MM
/
DD
/
YYYY
What organization did you volunteer/make monetary donation with for the community service activity?
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Meals on Wheels
James Lee Community Center
Bridges to Independence
Women Giving Back
ACTS
Culpepper Gardens
Other:
National Observance Event
MLK Day
Dr. Luthermae E. Adams Day
Dr. Catherine E. Bozeman Month of Kindness
National Community Service Day
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Please enter the total volunteer hours to include the prep time for the project. ( Example- 1.5 for (1 hour and 30 minutes.) Enter 0 if you only made a monetary donation.
Your answer
Monetary Donations
This section of the form is to capture monetary donations given to organizations and/or the monetary amount spent towards a community service project.
Did you provide a monetary donation directly to the organization?
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Yes
No
Please enter the monetary amount donated to the organization.
Your answer
Did you spend a monetary amount to a community service project (Example-purchased items to be donated or gave money for items to be purchased)?
*
Yes
No
Please enter the monetary amount spent towards the community service project.
Your answer
A copy of your responses will be emailed to the address you provided.
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This form was created inside of Gamma Phi Delta Sorority, Inc.
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