Community Engagement Reporting Form (Students only)

Student Information

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Total Hours of Engagement:

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Submit the number of hours you completed here.

Community Engagement Efforts(Required):

This field is required.

Member of the following:(Required):

This field is required.

Date of Engagement(Required):

This field is required.

Location of engagement(Required):

This field is required.

Community Partner Organization:

Student Information

Please provide your full name.

Name or Organization

Questions

Please answer the following:

What tasks were you responsible for?(Required) This field is required.

Did you participate as part of an organized group activity? (If yes, please indicate which group you participated with?)(Required) This field is required.

Did you participate as part of an academic class?(Required) This field is required.

If you engaged as part of a class, please indicate your professor and name of the class here: This field is required.

If you engaged in philanthropy efforts, approximately how many dollars/items were you personally responsible for donating? This field is required.

Would you recommend this site/project to another student? This field is required.

Are you a member of multiple groups who need to receive this report? If so, please list the groups here: This field is required.

Student Information

Student Information

Questions

Submission