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Department of Student Affairs: Office of Fraternity and Sorority Affairs

Office of Fraternity and Sorority Affairs

Community Service Project Form

Chapter Information

Name of Fraternity/Sorority:

Name of Person Submitting Form:

Name of Service Project:

Date:

Number of Members Participating in Project:

Total Number of Hours Completed: 

Description of community service project:

 

Agency Information

Please provide the below information if you worked with an agency for this community service project.  This will assist us to verify the hours if necessary. 

Did you work with an Agency Organization for this community service project?

Name of Agency Organization (if you did not work with an agency, type N/A):

Name of Agency Contact Person:

Phone Number: