Name: ____________________________________________________
Last First
Semester: ______ ___________ _______
MI
Grade Fall/Spring Year
Student ID #: _____________
I. Individual Service Project (ISP)
MINIMUM FOUR HOURS REQUIRED.
The projects are determined by student choice and must be done individually or with a group of four max. Semester service projects should reflect the student’s active involvement within their community and their scholarship for service.
Project Name: _______________________________
Organization: ________________________________
Date of Project: ______________________________
Time: from __________ to ___________
Signature: __________________________________
Event Coordinator: __________________________
Contact Number: ____________________________
Total Hours: ________
What did you do? Briefly describe the project’s purpose and its impact on you and the community.
__________________________________________________________________________________________
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__________________________________________________________________________________________
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II. Peer Tutoring Program (Juniors/Seniors)
MINIMUM TWO HOURS REQUIRED.
DATE TIME (ex: 3PM–4PM) HOURS OFFICER VERIFICATION
III. Faculty Assistance (Freshmen/Sophomores)
MINIMUM TWO HOURS REQUIRED.
DATE TIME (ex: 3PM–4PM) HOURS TASKS FACULTY VERIFICATION
IV. Additional Hours
TWO ADDITIONAL HOURS of either an ISP, tutoring, and/or faculty assistance are also required for EVERY MEMBER (please record accordingly in the spaces needed).
Project Name: ________________________________
Organization/Club: ____________________________
Date of Project: _______________________________
Time: from __________ to ___________
Signature: ________________________________
Contact Number: __________________________
Total Hours: ________
TOTAL HOURS REQUIRED PER SEMESTER: 8 TOTAL HOURS COMPLETED: _____________