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  • Hours Tracking Form

Office of Student Activities

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  • Volunteer Hours Tracking Form

    Please help us to report on the great work that MSUM students, staff, faculty, and alumni have accomplished in our community. Submit this form to track your service hours with the OSA.

    In order to celebrate the 125th Anniversary of MSUM, the Office of Student Activities will be holding prize drawings for students, faculty, staff and alumni who are doing service in our community.


     
    First Name:*
    Last Name:*
    MSUM Email:*
    MSUM Alumni may provide alternate email  
    Campus Organization:
    Please enter the name of your organization if applicable (no abbreviations or acronyms) so the OSA can track hours completed specifically by members of your organization. If you are submitting hours on behalf of multiple organizations, please enter both names in the field below, separated by a comma. 

    If you are completing hours as a requirement for a MSUM course, please enter the course name and professor. 
    Course Name:
    Professor:

     
    Date of Service:*  [None] Select a Date Delete the Date
    Type of Service Work:*  
      
    Description of Service Activity:*
    Please summarize the service activity you completed.  
     
    Number of Hours:*
    Enter the number of hours you worked rounded to the nearest quarter hour.

     
    Service Agency:*
    Enter the name of the organization with which you volunteered. 
    Site Contact Name:*
    Please give the name of the individual you worked with at the service agency.
    Site Contact Email:*
    Please provide either the site contact email or contact phone. You may put N/A in this field if you are providing a site contact phone below.
    Site Contact Phone:*
    Please provide either the site contact email or contact phone. You may put N/A in this field if you are providing a site contact e-mail above.