Service Hours Submission

The information entered into this form is kept in a secure database and can be verified by the Center for Civic Engagement when needed.

*STOP: If your service hours are required for a course, do not use this form.

*Exercise Physiology Students: You must have had your first appointment and received prior approval before using this form.

*If your hours are for a student judicial sanction or court ordered sanction you MAY NOT enter them online.


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Example: 12520
 


Example: (555) 555-5555
 


Example: dmolsen@hotmail.com
 


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required
 


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Example: (555) 555-5555
 


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Example: MM/DD/YYYY
 


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Please type your full name in agreement that all information is truthful and accurate.
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