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Bunting Center

Community Service Participation Survey, Student

Student Information

  Student Name: E-mail
  Student ID#: Year:

Service Information

1 Event Name: Event Date(s):
  Benefitting Organization: Event Location:
  Event Type: Service (Hands On) Fundraising or Donations
Number of hours:
2 Event Name: Event Date(s):
  Benefitting Organization: Event Location:
  Event Type: Service (Hands On) Fundraising or Donations
Number of hours:
3 Event Name: Event Date(s):
  Benefitting Organization: Event Location:
  Event Type: Service (Hands On) Fundraising or Donations
Number of hours:
  Total number of service hours:

Fundraising or Donation Information

 

Monetary Donation

 
  Money Raised:  
  Amount Spent to raise money:
  Total $ Donated:  
  Material Goods Donation (For example, cans of food, articles of clothing)