"UB-a-Leader" Leadership Certificate Program
Community Service Project Form

Name                                  Date  


Community Service Project Information:

 

Name of Organization                         

 

Date(s) of Project  

 

Location of Project  

 

Name of Primary Contact  

 

Organization Phone Number  

 

Primary Duties during the Community Service Project:





Responses - On a separate paper, please respond to the following (Be sure to use proper spelling and grammar):

  • Please provide a brief overview on your process for establishing this project.
  • In what areas can you improve as you go forward?
  • How has this experience influenced your leadership in terms of working with your peers?

*Please note that the Community Service Participation Form is to be filled out by all student-athletes participating in the project prior to the community service project.