Service Completion Form - Mount St. Mary’s University

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Student Organization - Community Service Completion Form

All organizations that wish to apply for funding through SGA must complete a service project each semester in which at least half of the membership must be present throughout a minimum of a 3 hour project. Service projects should be coordinated through the office of Community Service and can be done for either on campus or off campus needs. This should be submitted to Campus Activities upon completion of the service project.

Name of Club/Organization:*

Date*

Name of Person Coordinating the Service Project:*

Contact Information

Email:*

Phone Number:*

Description of Service Project:*

Service Date(s):*

Hours Committed to the Project:*

Number of Club Members Involved:*

Please List Club Members Names (One Per Line)*

Agency/Group/Person Service Done For:*