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Community Service Interest

Thank you for taking the time to complete the survey below. The Office of Community Service uses this information to create programming better suited to the interests and schedules of current and prospective students. If you would like to make further program suggestions, please contact Dan Flynn, the Coordinator of Community Service at 617-349-8567.


Contact Information:
* Name:
Current Address:
 
City:
State:    Zip: 
Permanent Address:
(if different)
 
City:
State:    Zip: 
*Phone:
Please include area code.
Phone Type:
*Email:
Major:
Title/Position:
(if applicable)
Year of Graduation:
School: AIB   LC

Community Service Information:
Why are you interested in community service?
 
What experience do you have with community service?
 
What populations would you like to serve?
(check all that apply)
  Children
Teens
Young Adults
Adults
Elderly
Women
Physically Disabled
Mentally Disabled
Homeless
What area(s) of service are you interested in?
(check all that apply)
  Arts
Education
Environment
Fundraising
Health
Human Services
At what times are you free?
(check all that apply)
  Weekday Mornings
Weekday Afternoons
Weekday Evenings
Weekend Mornings
Weekend Afternoons
Weekend Evenings
Semester Mornings
Semester Afternoons
Semester Evenings

* indicates required information
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