(For best results, please fill out this form using the Google Chrome Browser.)

Please submit one report per civic engagement project/event.

Club Contact Information

Name of Club/Organization *

Name of Project/Event *

Club Sponsor's Name *

Club Sponsor's Email *

Club Sponsor's Phone *

Club's Project/Event Information

Semester Project/Event was offered * Fall Spring Summer

Project/Event Start Date *

Project/Event End Date *

Project/Event Site or Location (please include name, address, etc.) *

How many students participated? *

Combined total number of hours served by students (Hint: If 30 students participated and completed 20 hours each, the combined total number of hours would be 600 hours. ) *

How many faculty members participated? *

Combined total number of hours served by faculty members (see hint above) *

How many staff members participated? *

Combined total number of hours served by staff members (see hint above) *

Estimated number of individuals served *

Project/Event Description *

Please list any community partners involved with this project/event. *

What were the project/event's successes? Describe the impact on the students involved, the club/organization, and the receiver(s) of the service provided. *

What was challenging about your project/event? *

If Other, please explain

Supplementary Information: Questions below are asking for "Student Reflection Quotes, Upload Photos and News/Video Links." These fields are not required, but if you have student reflection quotes, photos or links to video, please share them at the appropriate question. These items will be used on the SLICE website, in the Campus Compact and President's Honor Roll surveys, and for Accreditation purposes.

Student Reflection Quotes

Upload Photo from Project/Event

News articles/video links from Project/Event

Service Learning Post-Project Report for Clubs/Organizations

Club Contact Information

Club's Project/Event Information