1. Student Organization Name

2. Student Organization Contact (include name, email address, and phone number)

3. Agency/Group Name

4. Agency/Group Contact (include name, mailing address, email address, and phone number)

5. Please provide a brief description of the project

6. Number of students that participated and hours volunteered

7. If applicable, list the amount of money raised

8. On a scale of 1 (least) to 10 (most) to what extent do you feel community service contributes positively to the mission of Marshall University?

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