Service Activity Report Form

Use this form to report any event or activity that is service oriented. This service may be an individual project or as a part of a group or organization. This should not include activity for which you are paid or compensated for your time

Name(Required)

First Last

T-Number(Required)

(T00123456)

Classification(Required)

Major(Required)

Date Of Event/Activity

Title of the event?(Required)

How much time was devoted to this event?(Required)

What this an individual or organizational activity? If organizational, give the name of the organization.(Required)

What this an on campus event? If not, give the location.(Required)

Brief description of your service or role.(Required)

What is the perceived benefit of this activity and your service to those being served?(Required)

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