Community Service Hours
Last Name,First Name
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:
Community Organization (ex. Salvation Army, Thornden Park):
Description of Project/Work Completed & Dates
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:
Total Number of Hours Volunteered (ex. 3 ESF students X 2 hours each = 6 total hours):
Community Organization Contact Name and Phone Number:
Rate your volunteer experience on a scale of 1-5, 1 being a poor experience, 5 being a great experience:
Briefly explain your response from above, including what you liked about the experience and how it can be improved in the future.
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