Community Service Hours | Community Service Learning

The service activity was completed by:

A Group:

As a Course

An Organization

An Individual:

A Student

A Faculty Member

A Staff Member

Person submitting report: *

Email:

A copy will also be sent to you for your records.

Date(s) of service activity:

Enrolled in/Affiliated with:

Agency Serving: *

Combined total hours of service: *

Was the activity done representing FSU or Pierpont?:

Yes

Course

Please enter this additional information if your service activity was completed as a course.

Course Name:

Professor:

Number of students participating:

Organization

Please enter this additional information if your service activity was completed as an organization.

Name of Organization:

Number of Participants:

Please write a short description of the service activity.: *

CAPTCHA

This question is for testing whether you are a human visitor and to prevent automated spam submissions.

Math question: * 10 + 6 =

Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.