2013-2014 Individual Volunteer/Community Service Reporting Form

1. Default Section

 
Do you volunteer? Please take a few moments to tell us what you do! Use this form to report your personal service hours, those you do individually, not as part of a group. Please DO NOT report Into the Streets as this information is automatically tracked.
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1. First and last name:
2. Please list the name of service project and date.
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3. Where was the community service event held?
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4. State the name of the agency served, such as Boys & Girls Club.
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5. During the academic year (Aug-May) how often do you participate?
6. Total number of service hours completed during the academic year:
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7. Choose an issue area for the service completed.
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8. Please give a brief description of the service activity:
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9. How is the service an expression of one of Clarke’s core values of freedom, education, charity and justice?
Thank you for taking the time to fill out this survey! Please direct questions to Radie Roberts, Assistant Director of Campus Ministry, at radie.roberts@clarke.edu.
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