Please complete this form for each philanthropic/community service event in which your student organization has participated.
The information you provide will be used to recognize the great things your student organization has accomplished locally, regionally, and nationally. Your submission is completely electronic—when you hit the “Submit Report Form” button, the form will be delivered to the Center for Multicultural Student Leadership and Engagement.
All fields are required unless otherwise specified.
Number of Participants
Person Reporting First Name
Person Reporting Last Name
Person Reporting E-Mail
Describe the event (how did your student organization participate?)
Other Participating Organizations (optional)
Amount Donated(for Philanthropy)
Total Number of Combined Hours
(for Community Service)
Organization Receiving Money, Goods, or Services
Site Supervisor First Name
Site Supervisor Last Name
Address Line 1
Address Line 2 (optional)