Community Service Hours
Last Name,First Name *
Your answer
Email Address *
Your answer
Class Year *
Did you complete this with or on behalf of a student organization? *
If you answered yes to the above, indicate the name of the club/organization:
Your answer
Community Organization (ex. Salvation Army, Thornden Park): *
Your answer
Description of Project/Work Completed & Dates *
Your answer
If you volunteered with a group of ESF students, list the number of ESF volunteers. Only indicate the number of ESF volunteers; if it was just you, put 1: *
Your answer
Total Number of Hours Volunteered (ex. 3 ESF students X 2 hours each = 6 total hours): *
Your answer
Community Organization Contact Name and Phone Number:
Your answer
Rate your volunteer experience on a scale of 1-5, 1 being a poor experience, 5 being a great experience: *
Poor
Excellent
Briefly explain your response from above, including what you liked about the experience and how it can be improved in the future.
Your answer
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