Reporting Campus & Community Service Hours
Submitter's Name:
Email Address:
Reporting Group Service Hours
Group Name:
Project Title:
Project Description:
Date:
Start Time:
End Time:
Location (City,State):
Number of Participants:
Names of Individual Participants: Separate by commas; if hours differ by individual, you may indicate hours served parenthetically: Mary Wilson (2), Tanya Miller (4), Amy Johnson (3.5)
Total Hours Completed By Group: =sum o all individual hours served
Reporting Individual Service Hours
Project Sponsored by Group (if applicable):
Location (City, State):
Was this Service to the Campus or to the Community? Campus Community
Would you like to apply these hours towards an LVC Service Award? Yes No