Personal Volunteerism Tracking Form
Email address *
Name: *
Start date of experience *
MM
/
DD
/
YYYY
End date of experience *
MM
/
DD
/
YYYY
Community partner *
Description of activity *
Critical concern addressed by service: *
Total number of hours you served *
Total number of MMU individuals involved (family/friends in your party, including yourself) *
Total number of hours served by all MMU individuals involved (family/friends in your party, including yourself) *
If Fundraiser: How much money was raised? Please indicate total US Dolllar ($)
How have you benefited from your experience: (personally, academically, and professionally)?
What changes to your experience would you recommend for the future?
Other comments or feedback
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