Club and Organizations Service
Email address *
Select SGA Club or Organization *
Required
If not listed, please indicate club *
Your answer
Start Date of Experience *
MM
/
DD
/
YYYY
End Date of Experience *
MM
/
DD
/
YYYY
Community Partner *
Your answer
Description of Activity *
Your answer
Critical Concern addressed by service: *
Total number of MMU participants *
Your answer
Total Number of Hours Served by Individual *
Your answer
Total Number of Hours Served by Staff or Faculty *
Your answer
Total Number of Hours Served by All MMU Related Participants *
Your answer
If Fundraiser: How much money was raised? Please indicate total US dollar ($) *
Your answer
How have you benefited from your experience: (personally, academically, and professionally)? *
Your answer
What changes to your experience would you recommend for the future? *
Your answer
Other comments or feedback including list of individuals involved: *
Your answer
Name *
Your answer
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