LBC Exit Form
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1. DCI - LBC - EXIT FORM

Congratulations on completing 20 hours of service.

To receive LBC credit, please fill out the reflection form. Note that a complete form includes short-answers questions that require a response of at least 100 characters. '

If your responses are incomplete, we will not be able to submit your LBC as complete for Group 2: Community Service, Citizenship and Leadership.

1. Personal Information

Personal Information First Name
Last Name
Email
E ID#

2. What is your current class standing?

What is your current class standing? First Year

Sophomore

Junior

Senior

3. Please choose which best describes your volunteer activity:

Please choose which best describes your volunteer activity: Volunteering with VISION programs

Direct volunteering with community partner

Other

LBC Exit FormExit this survey >>

1. DCI - LBC - EXIT FORM

LBC Exit Form
Exit this survey >>