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 Title:

Project Description:

Project Sponsored by Group (if applicable):

Date:

Start Time:

End Time:

Location (City, State):

Was this Service to the Campus or to the Community?

Would you like to apply these hours towards an LVC Service Award?