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Community Service Form

Note: To receive credit for this event you must also obtain a verification letter on official letterhead from the agency where the hours were completed. This letter must be submitted to the OSFA by the appropriate deadline each semester.

Chapter Alpha Chi Omega Alpha Delta Pi Alpha Epsilon Phi Alpha Epsilon Pi Alpha Gamma Rho Alpha Kappa Alpha alpha Kappa Delta Phi Alpha Omicron Pi Alpha Phi Alpha Alpha Tau Omega Beta Chi Theta Beta Theta Pi Chi Omega Chi Phi Delta Chi Delta Delta Delta Delta Gamma Delta Phi Epsilon Delta Phi Omega Delta Sigma Theta Delta Tau Delta Delta Upsilon Delta Zeta Gamma Eta Iota Phi Theta Kappa Alpha Order Kappa Alpha Psi Kappa Alpha Theta Kappa Delta Kappa Kappa Gamma Kappa Phi Lambda Kappa Sigma Lambda Alpha Upsilon Lambda Chi Alpha Lambda Theta Alpha Lambda Theta Phi Omega Delta Phi Omega Psi Phi Phi Beta Sigma Phi Delta Theta Phi Gamma Delta Phi Kappa Tau Phi Mu Phi Sigma Kappa Pi Beta Phi Pi Delta Psi Pi Kappa Alpha Pi Kappa Phi Pi Lambda Phi Sigma Alpha Epsilon Sigma Beta Rho Sigma Chi Sigma Gamma Rho Sigma Kappa Sigma Lambda Beta Sigma Lambda Gamma Sigma Nu Sigma Phi Epsilon Sigma Pi Tau Epsilon Phi Tau Kappa Epsilon Theta Chi Theta Nu Xi Zeta Beta Tau Zeta Phi Beta Zeta Tau Alpha Issue Addressed: Name of Service Site: Name of On-Site Volunteer Coordinator: Date of Service Hours at Service Site (# of attendees x total hours) Number of Chapter Members at Event Percentage of Chapter: % # of New Members/Neophytes: # of Active Members: Please describe the tasks performed at this service site. Would you recommend this service site to other chapters? Why or why not? Leave blank