JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
YPinLex Service Log
Please fill this out for each INDIVIDUAL activity. This must be done before the end of each month.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Last Name
*
Your answer
First Name
*
Your answer
Event Attended:
Choose
General Body Meeting
ELT Meeting
Date of Service Hours
MM
/
DD
/
YYYY
Hours of ServiceĀ
*
Choose
1
1.5
2
2.5
3
3.5
4
4.5
5
5.5
6
6.5
7
7.5
8
Service Category
Choose
Direct UL Affiliate Service
YPinLex Chapter Operations
NULYP Participation
Other
Is your service doing during one of the following national Initiatives/programs?
Choose
Join Week
YPFit
NUL Conference
Legislative Policy Conference
Whitney M Young Conference
National Day of Empowerment (NDOE)
National Day of Service (NDOS)
NONE
If "other" please list the Organization that benefited from your service
Your answer
Send me a copy of my responses.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report