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: 



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.