Community Service Report - UTA Volunteers - The University of Texas at Arlington

Tell us what you, your organization or department is doing out in the community! Fill out this form for each community project you or your group completes. UTA Volunteers will keep records of organizations active in the community and use the information when determining year end awards.
Your Contact Information
*First Name
*Last Name
*Organization/Department Name
Department Phone
*Email Address
Agency/Organization Contact Information
*Agency/Organization
Contact Name
Position
Phone
Email Address
Volunteer Project Information
*Project Name
Project Description
Project Purpose
Project Duration	One-time Ongoing
Number of Volunteers
Total Volunteer Hours
Project Start Date
Project End Date
Philanthropy
Organization Benefitting
How much money was raised?
How were donations collected?
Any Items Donated?
Evaluation
Describe the outcome of the project
Would you do this again?	Yes No
Remarks, comments, suggestions

	* denotes required field