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Last Name*

Email*

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Type

Non-Profit
School
Other

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Causes

Advocacy Animal Welfare
Financial Assistance
Food Insecurity, Hunger
General Advocacy
Human Rights
Legal Services
Marginalized Populations
Placemaking
Poverty & Basic Needs
Race & Ethnicity
Social Justice
Voter Registration And EducationArts, Culture, and Sport Arts & Culture
Media & Broadcasting
Politics
Sports & RecreationChildren & Youth Children & Youth
Mentor
Opportunity YouthEducation College Readiness
Early Childhood Education
General Education
Leadership Education
Literacy
STEM
TutorEmergencies COVID-19
Crisis Support
Disaster Relief
Emergency & Safety
PreparednessEnvironmental Animals
Conservation
Environment
Environmental Education
Sustainability
Water ConservationGeneral Services Civic Engagement
Community
Faith-Based
International
Non-Profit Business ServicesHealth Services Autism
Clinical Services
Dental Services
Health
Mental Health Services
Nutrition
Special NeedsProfessional Development Board Development
Computers & Technology
Economic Development
Employment
Entrepreneurial Training
Leadership Development
Professional Development
Research
Student Fieldwork
Workforce DevelopmentVulnerable Populations Domestic Violence
Gender
Homeless & Housing
Immigrants & Refugees
Incarcerated, Formerly Incarcerated
Indigenous Peoples & Communities
LGBTQ+
Older Adults
Persons with Disabilities
Sexual Assault
Veterans & Military Families
Victim Services

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Where is this group located in?

Verification

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Verifier's Name*

Verifier's Email *

Verifier's Phone

In order to verify this, please provide the name, email and phone number of the event organizer or of the person that can confirm you were there.

Date

Start Date *

End Date

Start Time End Time

Impact Type & Measurement

Hours *

USD

List or describe the goods donated

What was the outcome of your impact?

Requested Information

What type of service? *

Campus Service (Georgia College Organization)
Community Service (Outside of Georgia College)

Category of Service Performed *

Event
Tabling
Planning/Meeting
Independent Service

Description *

Please write 1-2 sentences describing what you did during your service hours. (Donating money or items does not count as official GCSU service hours)

Organization/Agency *

What organization was responsible for the service?

Location *

Format: City, State

Was this (required, prompted, linked to) one of the following: *

If yes, select option below

Internship
scholarship requirement
Designated Community based Engaged Learning Course (CbEL Course)
class requirement
court mandated
none (not applicable)

About Your Experience

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Review, Reflection and FeedbackPersonal Notes

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*Attachments (Add your donation receipt(s) to confirm your offline donation.)

(File types: jpg, jpeg, png, gif, ppt, odt, xls, xlsx, csv, rtf, pdf, txt, doc, docx, zip)

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Your Information

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Date

Impact Type & Measurement

Requested Information

About Your Experience

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