Rutgers Circle K Service Hours
Hi everyone! Please fill out this for for EACH service project you perform. This includes both service performed with Circle K/Kiwanis and outside of Circle K. We will keep track of your service hours via this form. Every month, the person with the most Rutgers Circle K service hours will be presented a certificate and prize. Thank you!

IF YOU HAVE ANY QUESTIONS, PLEASE CONTACT SECRETARY ALYSSA OR PRESIDENT DIMPIE
(alyssapilch.cki@gmail.com & dimpieshah.cki@gmail.com)

What is a service hour?
- travel to the location of service (one way only)
- unpaid service that is not part of internship (even if the internship is unpaid/non-credit), shadowing, or for benefit of yourself
Your Name (first and last) *
Date of event *
MM
/
DD
/
YYYY
Name of Service Project *
Number of Service Hours Completed *
Money Raised (if applicable)
Submit
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