Community Service
Please use this form to complete your club's community service hours. This form must be submitted within 2 weeks of the service event. Keep in mind that to be counted for community service, a minimum of 5 active members must participate in the activity.
First Name of person submitting this form
Your answer
Last Name of person submitting this form
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E-mail address of person submitting this form
Your answer
Club
Date of Community Service Event
MM
/
DD
/
YYYY
Scheduled start time for event
Time
:
End time for event
Time
:
If this is an ongoing event with multiple dates, list all dates below.
Your answer
Please describe what your club did for this community service activity.
Your answer
Please describe what the club learned as a result of its participation in this activity.
Your answer
TOTAL number of hours performed by the club as a group (e.g. - if 10 people worked for 3 hours = 30 hours)
Your answer
Please list the name of the organization/project for which the club worked.
Your answer
Name of person we can contact with the organization to verify your club's activity.
Your answer
Please provide the e-mail AND phone number of person listed above.
Your answer
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