Community Service/Philanthropy Report Form

Chapter:
Alpha Chi Omega Alpha Delta Pi Alpha Kappa Alpha Alpha Phi Alpha Alpha Tau Omega Chi Psi Chi Omega Chi Upsilon Sigma Delta Delta Delta Delta Upsilon Delta Tau Delta Delta Sigma Theta Delta Zeta Gamma Phi Beta Iota Phi Theta Kappa Alpha Kappa Alpha Psi Kappa Delta Kappa Kappa Gamma Kappa Sigma Lambda Chi Alpha Omega Psi Phi Phi Sigma Kappa Pi Kappa Alpha Pi Kappa Phi Sigma Alpha Epsilon Sigma Chi Sigma Gamma Rho Sigma Nu Sigma Phi Epsilon Tau Kappa Epsilon Zeta Tau Alpha

Event Name:

Event Description: 

Date, Time, Location of Event:

Beneficiary:

Beneficiary Contact:

Beneficiary Contact Information:

(i.e. phone or email)

Total Number of Members Involved:

Total Number of Hours Donated:

Total Amount of Money Donated:

Total Amount of Goods Donated:

(i.e. pounds of canned food or number of supplies)

Name of Person Filling out Form:

Email of Person Filling out Form: