Sport Club Program
Community Service Form
Club: _________________________________
Date Submitted: _________________________
Officer: _______________________________
Event Contact: ____________________________
Date of Event: _________________
Event Contact Number: __________________
Times of Event: ______________
Location of Event: __________________
Description of Event: _____________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Expected number of members participating: ____________
Was this community service event a success:
Y
Expected hours spent working event: __________
or
N
Please Explain: __________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
What were the strengths of the community service event? __________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Weaknesses: ____________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
How can the community service event be improved? _____________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Is this event recurring or a one-time event?
Recurring
One-Time
Would your club do this event again in the future?
Yes
No
Actual number of members participating: ____________
Actual hours spent working event: _____________
Office Use Only
Date Received: ________________________
Number of members involved: _________
Number of hours earned: ___________
Part of requirement:
If done in excess of requirement, points awarded:
Y
Y
N
N
Notes: ___________________________________________________________________
__________________________________________________________________________
SC Approval: _______________________________
Signature
_____________
Y or N
________
Points Awarded
Updated
Initials
_____________
Y or N
________
Points Awarded
Updated
Initials