Documentation of Community Service



Documentation of Community Service

Honors Program

Student’s name:

Student’s Z-number:

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Organization where service was rendered:

Name:

Mailing address:

Organization telephone:

Name of supervisor:

Supervisor email:

Supervisor telephone:

Number of hours spent in volunteer service:

Inclusive dates of volunteer service:

Explanation of service:

Apply to Honors Program Service Learning hours for semester/year:

Community Service Reflection Paper

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