Report Your Community Service

If you participated in any school-related community service activities this month, please complete this survey to log your efforts and tell us about your experience.

* 1. School Name:

* 2. Legal first name of the student who participated in the service activity:
*Please note that name must match school enrollment information

* 3. Last name of student who participated in the service activity:
*Please note that name must match school enrollment information

* 4. Please enter your student ID#:
*Please locate student ID number in "My Info" under the "school" tab

* 5. Student Grade Level:

* 6. Month in which community service hours were completed:

* 7. Community Service Theme:

* 8. Number of service hours completed this month:

* 9. Service venue name:

* 10. Service venue location (city name):

* 11. Name of organization:

* 12. Description of Service Activity/ies:

* 13. Number of items you donated this month (if applicable):

* 14. Total funds raised or money spent/donated this month (if applicable):

* 15. Is there anything that you learned from completing this service activity?

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