University College

Service Project/Course Title(s):

Dates/Semester/Year:

Information Submitted by:

Student Participants

Number:

Total Service Hours:

Number of students performing 20 or more service hours per week:

Faculty/staff Participants

Number:

Total Service Hours:

Other Information

Number of Individuals/Clients served:

If needed, explain types of Individuals/Clients served:

Identify and check primary type of service provided (more than one check is okay):
Economic Education Environment
Health Veterans Other

Project Description/Narrative (up to 300 words)

Please provide a short (fewer than 300 words) narrative about your project. Please include: 1) kinds of services provided; 2) detailed evidence of the project's benefits to individuals and communities; and 3) whether student participation was during regular academic sessions or during summer or other breaks. When possible, project descriptions should also discuss: 1) particularly helpful program practices or institutional support; 2) community agency collaborations that may include K-12 schools; and 3) project support by Federal Work-Study, CNCS programs, or other Government programs.

Narrative block – Please write below (300 Words)::

In addition to General Community Service, institutions may apply for one of the “Special Focus” areas listed below. If project(s) may qualify for any of the “Special Focus Areas” please check the appropriate box below. We may follow up with you to request more information.

Special Focus Areas:
The Promise Neighborhoods
Innovation in Early Childhood Education
Service that Supports Summer Learning

Thank You!