Eaglecrest Community Service Form
Welcome! This form must be completed within one month of the last date of service. Please contact Mrs. Slusher at kslusher@cherrycreekschools.org if you have any questions.

Community Service Mission Statement:
The Community Service Program at Eaglecrest High School connects our students to local, national or international communities in need through sustained, meaning relationship. This work broadens student horizons and makes the world a better place.

Signature Line *
I certify that the information I complete below is true and accurate. I also confirm my understanding that porviding any false information is a violation of Eaglecrest High School's Raptor Way and would subject me to disciplinary action by the school.
Your answer
Class of: *
Which program are you submitting hours? *
choose all that apply
Date(s) of Service *
format: month/date/year (example: 12/3/2013-12/7/2013)
Your answer
Hours Worked *
Enter a number only. Use .25 for each quarter of an hour.
Your answer
Name of Supervisor *
Your answer
Phone Number of Supervisor *
Your answer
Email of Supervisor *
Your answer
Would you recommend this organization to another student at Eaglecrest High School? Why or Why Not.
*This question only applies to community service hours completed through organizations not related to Eaglecrest.
Your answer
Identify the category need that was being serviced by your time and effort *
Did you participate, lead an activity, or develop the overall community service activity? *
What duties did you perform while working with this organization? *
Your answer
Reflect upon your community service experience. *
You may choose from one of the following prompts or write your own thoughts. In what way did you work to improve the situation of this community and what progress did you make toward this end? What did you learn while volunteering with this organization? What sort of personal growth did you experience during your time with the organization? What was your favorite or least favorite part of the experience? Explain what made it so.
Your answer
Student email address *
Your answer
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