C.W. Post Volunteer Center Report

Please fill out the form below and help C.W. Post keep track of the volunteer work it does! All Clubs, Organizations, Fraternities and Sororities should fill this out for credit for their club status. Please print this page as a record for your club.

This is for:

Organization

Individual

Name of Person making the Report (First and Last Name)

Club, Organization or Class Name (write "none" if this is an individual report)

Address 1

Address 2

City

State

Postal Code

Phone

Email Address

Agency Information

Name of Agency you worked with or Title of Project

Date of Project MM/DD/YYYY

Agency Contact's First and Last Name

Last Name

Street Address

Address Line 2

City

State

Zip Code

Phone Number

Email Address

Briefly Describe Your Project

Write a short description of how this project impacted your group.
If reporting as an individual, report on how it impacted you as an individual.

How many people participated in volunteering for the project?

How many hours were spent doing the project?

If this was a fundraiser, how much money was raised?

Evaluation of Project

Upload a picture of your project here.

If you did other projects not summarized above please list project and number of total hours spent.

	Project	Number of Participants	Hours Spent on Project	Total Hours
Extra Project 1
Extra Project 2
Extra Project 3
Extra Project 4

Please add up total hours in extra projects

Comments/Additional Information

form:http://tinyurl.com/comserveeval

Indicates Response Required

	Excellent	Good	Average	Poor
Overall Experience
Agency Readiness
Agency Staff Attitude