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
Last Name of person submitting this form
E-mail address of person submitting this form
Flag Football (W)
Swimming & Diving
Tae Kwon Do
Water Polo (M)
Water Polo (W)
Date of Community Service Event
Scheduled start time for event
End time for event
If this is an ongoing event with multiple dates, list all dates below.
Please describe what your club did for this community service activity.
Please describe what the club learned as a result of its participation in this activity.
TOTAL number of hours performed by the club as a group (e.g. - if 10 people worked for 3 hours = 30 hours)
Please list the name of the organization/project for which the club worked.
Name of person we can contact with the organization to verify your club's activity.
Please provide the e-mail AND phone number of person listed above.
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