* Name of Person Reporting
Number of Hours 15 minutes 30 minutes Residence Hall 1 hour 2 hours 3 hours 4 hours 5 hours 6 hours 7 hours 8 hours 9 hours 10 hours 11 hour 12 hours 13 hours 14 hours 15 hours 16 hours 17 hours 18 hours 19 hours 20 hours 21 hour 22 hours 23 hours 24 hours 25 hours 26 hours 27 hours 28 hours 29 hours 30 hours 31 hour 32 hours 33 hours 34 hours 35 hours 36 hours 37 hours 38 hours 39 hours 40 hours 41 hour 42 hours 43 hours 44 hours 45 hours 46 hours 47 hours 48 hours 49 hours 50 hours
Project/Event
Please rate your performance on your project on a scale from 1-10. 1 being poor and 10 being great.
Rate the project on a scale from 1-10. 1 being poor and 10 being great.
What Have you accomplished this month with your program? (enter in space provided. Please provide specifics)
What problems occurred in this specific project?
What can you do in the future to fix this problem?
Feedback/suggestions for the Community Service Center
If you have obtained hours for more than one event, please submit each set of hours for each activity seperatley.