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
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
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
Excellent
Good
Average
Poor
Overall Experience
Agency Readiness
Agency Staff Attitude
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