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Community Service Participation Form

Campus Organizations

Organization Information

Organization Name: Contact Person:

Project Information

Project Name: Project Date(s):
Project Leader/Chair: Email: Phone:
Benefitting Organization: Event Location:
Event Type:                  Community Service (Hands On)                      Fundraising or Donations

Service Hours Information

Number of members participating X   Number of hours =

Total number of service hours

Fill out information for each participant in the block below:

Fundraising or Donation Information

Monetary Donation  
Money Raised

Amount Spent
  Total Donated:
Material Goods Donation  (For example, cans of food, articles of clothing): :

Description of Event