Community Service Project Reflection Form
*Please complete the following reflection form as soon as possible after completing your
project and submit to Ms. Lueck, Ms. Hendricks or the NHS secretary, Priscilla Mammen.
*Each member of a group must submit their own reflection.
* If your project requires you to submit hours for other members (ex: hours from donating to
a drive or bake sale) you must submit those members’ hours and attach that list to this form
before you can receive credit for finishing your project.
Name of member: __________________________________________
Name of project: ___________________________________________
Date(s) project was completed. _______________________________
Please complete the following chart to record your hours spent on the project.
Date
Describe what you did (ex: wrote announcement, checked
Hours Spent
collection box, contacted and organization)
Total Hours: ______________
Please write a brief summary of what the project entailed, who benefitted from it and how.
Also, please include what you personally learned from your involvement with the project and
what, if anything, you would have done differently.
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Signature of NHS student involved: ___________________________________