HKS Public Service Challenge 2014: Hour Log Form

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Name (first and last): *

Name of organization that you volunteered with: *

Affiliation: *

MPP

MPA

MPA/ID

MC/MPA

Faculty / Staff

Other:

Nature of volunteer activity: *

Please check all that apply. If none do, please specify under 'others'.

Direct service in education (e.g., tutoring, curriculum development)

Direct service in hunger and homelessness (e.g., serving food at homeless shelter, food drive)

Direct service in environmental services (e.g., river cleanup, Earth Day)

Direct service in health services (e.g., AIDS walk, hospital volunteering)

Direct service in youth services (e.g., Big Brother Big Sisters, YMCA camps)

Direct services in cultural and arts services (e.g., volunteering at performances)

Indirect services: Advocacy

Indirect services: Fundraising

HKS Serves (Public Service Day)

Blood Drive

Other:

Required

Date of volunteer activity: *

If over a period of time, please provide the start and end dates, as well as the frequency of the volunteering. (e.g. '1/1 to 1/31, once a week')

Hours volunteered: *

Please report in full or half hour increments.

Any additional comments:

Submit

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