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Community Service Hours Tracking Form
Are you reporting as an individual or on behalf of a student organization?
            

If service was affiliated with a student organization on campus, please check the group you worked with:

 

 

 

If other specify:  

Your Name:

Campus Address or Local Mailing Address: 

Phone: 

Email: 

Where did you volunteer? 

If other specify:  

Was this a one-time service event or is the community service continuous over a span of time?   

                  

Total Number of Volunteers:     

Total Number of Service Hours:  

(Note:The total number of service hours should reflect the combined amount of hours for the entire group. Example: if 5 volunteers each completed 4 hours of community service, you should report 20 total hours of service for your organization.)   

 

Date(s) of service: 
If you are reporting a charitable donation, please indicate the dollar amount:   

Which organization received your donation?  

 

Please describe your community service activity: 

 

Documentation is required of all monetary donations. Please submit a copy of the receipt or a letter from the organization to the Office of Community Engagement.