2019 Community Service Reporting Form
Please report all community service hours completed below. If you are completing ongoing service at one location, you only need to submit one form at the end of the semester.
Chapter *
Community Service Date *
MM
/
DD
/
YYYY
Community Service Site *
Your answer
Community Service Site Contact Name *
Your answer
Community Service Site Contact Phone Number/Email *
Your answer
Activity Description *
Your answer
Number of Members in Attendance *
Your answer
Number of Service Hours Completed at Site *
Your answer
Total Number of Completed Hours *
Captionless Image
Your answer
Name of Person Submitting this Form *
Your answer
I hereby attest that all information submitted in this form by my chapter is true to the best of my knowledge. I understand that the information submitted in this form will be validated and if false information is submitted, my chapter will be ineligible for recognition of this service project. *
Required
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