Convocation Community Service printable pdf download

Convocation Community Service

Individual Form

Community Service Convocation Criteria:

Participation in an activity serving a

charitable mission or cause which is 1) not required as part of an academic syllabus or

academic honor society/service organization and 2) does not offer remuneration (pay,

goods, services, future career advancement, etc.) to the student.

Note: Community service must be done off-campus except for pre-approved on-campus

service programs (blood drives, amnesty international letter writing, etc).

Please print or type all information.

Name:

Student ID Card#:

________

Phone:

Email Address:

BU ID#:

Total Credits Requested:

________

Are you graduating this semester? (circle one)

YES

Service Logistics

Identify the name of the organization, program or activity:

Enter the dates and times of service:

______

What were the major responsibilities of your position/involvement?

________________________________________________________________________

Personal Reflection

*In order to receive your Convocation credit, you must answer both questions separately.*

1.) How did this experience affect your perspective of contributing to the needs of the

community? 2.) How did it affect the people you served?

Convocation Community Service