Student Volunteer Hours Submission Form

Please complete the information below. 

Student Information

Student ID:

CCSJ Email Address (@ccsj.edu):

First Name:

Last Name:

For which CCSJ Sport are you Volunteering:

BaseballCheerleadingCompetitive DanceMen's BasketballMen's BowlingMen's Cross CountryMen's SoccerMen's VolleyballPep BandSoftballSprint FootballWomen's BasketballWomen's BowlingWomen's Cross CountryWomen's SoccerWomen's Volleyball

For which CCSJ Club are you Volunteering:

Active MindsAlpha Phi OmegaBlack Student Union ClubBusiness ClubCampus MinistryDrama ClubEducation ClubEnglish and Creative Writing ClubGaming ClubInternational ClubLos Amigos ClubPep BandResidence Hall AssociationScience ClubSt. Gasper Honors CollegeStudent Government Association

Event Information

Name of the Event:

Name of the Organization:

Website for the Event (or Organization):

Date of the Event:

Date of the Event:

JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember123456789101112131415161718192021222324252627282930312000200120022003200420052006200720082009201020112012201320142015201620172018201920202021202220232024202520262027202820292030203120322033203420352036203720382039204020412042204320442045

Number of Hours Volunteered:

Description of Activities or Tasks Performed:

Full Name of the Volunteer Coordinator/Supervisor:

Phone Number for the Volunteer Coordinator/Supervisor:

Student Reflection

Note:  Check with the Event Supervisor or Organizer if you are required to complete this section.

In your own words, please submit a written reflection describing your volunteer service including:

• What were you hoping to address through your service?
• What were some key takeaways you learned through your service?
• How has this experience impacted or changed you?

(There is no character limit.  We suggest copying & pasting from a Word document or other editor.)

By selecting the box below, I verify that the information documented on this form accurately represents unpaid, volunteer hours.
 

By selecting the box below, I verify that the information documented on this form accurately represents unpaid, volunteer hours.
 

Yes, the information is correct.