Community Service Hours Tracking

Report your community service hours and for more information on volunteer opportunities contact: Angie Wolfe at 814-362-7592 or awolfe@pitt.edu

Are you reporting as an individual or on behalf of a student organization? *

Individual Service Hours

Student Organization Service Hours

If service was affiliated with a student organization on campus, please check the group you worked with:

Name *

Campus Address or Local Mailing Address *

Email *

Phone *

Where did you volunteer? *

Was this a one-time service event or is the community service continuous over a span of time? *

One-time service event

Continuous service

Total Number of Volunteers *

Total Number of Service Hours *

(Note: The total number of service hours should reflect the combined amount of hours for the entire group. Example: if 5 volunteers each completed 4 hours of community service, you should report 20 total hours of service for your organization.)

Date(s) of Service

From *

Are you reporting a charitable donation? Yes

Please indicate the dollar amount: *

Which organization received your donation? *

Please describe your community service activity: *

Documentation is required of all monetary donations. Please submit a copy of the receipt or a letter from the organization to the Office of Community Engagement.

I certify that the information contained on this document is, to the best of my knowledge, accurate and complete. *

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