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Community Service Request for Approval
Please complete the form and receive approval of your community service prior to completing your 25 hours. If you will be serving at multiple organizations, please receive approval for each organization.
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* Indicates required question
Full Name
*
Your answer
Current Grade
*
Freshman
Sophomore
Junior
Senior
Organization
*
Your answer
Address of Organization
*
Your answer
Name of Organization Representative
*
Your answer
Will you be paid for your time?
*
Yes
No
Is this service required for another organization?
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Yes
No
Describe the service to be completed.
*
Your answer
Describe how you will know the service was successful.
*
Your answer
Provide relevant logistical details of the upcoming service - dates, location, contact information.
*
Your answer
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