Preston Service Record
Preston residents - please complete the following form for ANY community service (within or outside of Preston) you have completed
First Name:
Your answer
Last Name:
Your answer
Are you a member of Y-IMPACT?
Where was your volunteer/service activity?
Your answer
What date did you volunteer/serve?
MM
/
DD
/
YYYY
What was the duration of your volunteer/service time?
Hrs
:
Min
:
Sec
What did you do during the volunteer/service activity?
Your answer
What did you learn from this volunteer/service activity?
Your answer
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