SOURCE Community Involvement Reporting Form

Please complete the following information in order to report your community involvement experience within the Greater Baltimore community. If you have been involved in a number of involvement activities, please complete the form separately for each of your different experiences. Community involvement experiences include: one-time service activities, short-term projects such as The Connection community consultant projects, on-going volunteer positions, federal work-study, academic course projects, special studies, Capstone projects, research in the community, student group service events, and more!

* = Required field

First Name*

Last Name*

Gender

Email Address*

School Affiliation*

Degree Program*

Are you reporting a one-time service project or an on-going community involvement activity?*

How did you become involved with this community involvement activity?*

Other

What is the name of the community-based organization that you served?*

What project or program did you work on?*

Please select a category that best describes the community organization you served*

Would you recommend this organization to others for a community experience?*

Yes
No
Maybe

Describe your responsibilities, tasks, activities for your community involvement experience

Rate your satisfaction with this community involvement experience*

Please tell us what you liked about your community involvement experience

Please tell us what you disliked about your community involvement experience

What kinds of programs/opportunities would you like to see from SOURCE to encourage increased JHU involvement in the community?

In your opinion, what could be done to increase student involvement in the local community?