"My Hands to Larger Service" Community Service Log & Awards Form

Club Name

Name of Club Leader or Community Service Leader

Phone Number

Service Project 1

Name/Description of Service Project

Number of Members Involved

Number of CERTIFIED Leaders Involved

Length of Service Project (hours)

How did this service project benefit your community? Select the category that best describes the service project.

Service Project 2

Name/Description of Service Project

Number of Members Involved

Number of CERTIFIED Leaders Involved

Length of Service Project (hours)

How did this service project benefit your community? Select the category that best describes the service project.

Service Project 3

Name/Description of Service Project

Number of Members Involved

Number of CERTIFIED Leaders Involved

Length of Service Project (hours)

How did this service project benefit your community? Select the category that best describes the service project.

Service Project 4

Name/Description of Service Project

Number of Members Involved

Number of CERTIFIED Leaders Involved

Length of Service Project (hours)

How did this service project benefit your community? Select the category that best describes the service project.

Service Project 5

Name/Description of Service Project

Number of Members Involved

Number of CERTIFIED Leaders Involved

Length of Service Project (hours)

How did this service project benefit your community? Select the category that best describes the service project.

Service Project 6

Name/Description of Service Project

Number of Members Involved

Number of CERTIFIED Leaders Involved

Length of Service Project (hours)

How did this service project benefit your community? Select the category that best describes the service project.

Service Project 7

Name/Description of Service Project

Number of Members Involved

Number of CERTIFIED Leaders Involved

Length of Service Project (hours)

How did this service project benefit your community? Select the category that best describes the service project.

Service Project 8

Name/Description of Service Project

Number of Members Involved

Number of CERTIFIED Leaders Involved

Length of Service Project (hours)

How did this service project benefit your community? Select the category that best describes the service project.

Service Project 9

Name/Description of Service Project

Number of Members Involved

Number of CERTIFIED Leaders Involved

Length of Service Project (hours)

How did this service project benefit your community? Select the category that best describes the service project.

Service Project 10

Name/Description of Service Project

Number of Members Involved

Number of CERTIFIED Leaders Involved

Length of Service Project (hours)

How did this service project benefit your community? Select the category that best describes the service project.

Service Project 11

Name/Description of Service Project

Number of Members Involved

Number of CERTIFIED Leaders Involved

Length of Service Project (hours)

How did this service project benefit your community? Select the category that best describes the service project.

Service Project 12

Name/Description of Service Project

Number of Members Involved

Number of CERTIFIED Leaders Involved

Length of Service Project (hours)

How did this service project benefit your community? Select the category that best describes the service project.

Service Project 13

Name/Description of Service Project

Number of Members Involved

Number of CERTIFIED Leaders Involved

Length of Service Project (hours)

How did this service project benefit your community? Select the category that best describes the service project.

Service Project 14

Name/Description of Service Project

Number of Members Involved

Number of CERTIFIED Leaders Involved

Length of Service Project (hours)

How did this service project benefit your community? Select the category that best describes the service project.

Service Project 15

Name/Description of Service Project

Number of Members Involved

Number of CERTIFIED Leaders Involved

Length of Service Project (hours)

How did this service project benefit your community? Select the category that best describes the service project.

Service Project 16

Name/Description of Service Project

Number of Members Involved

Number of CERTIFIED Leaders Involved

Length of Service Project (hours)

How did this service project benefit your community? Select the category that best describes the service project.

Service Project 17

Name/Description of Service Project

Number of Members Involved

Number of CERTIFIED Leaders Involved

Length of Service Project (hours)

How did this service project benefit your community? Select the category that best describes the service project.

Service Project 18

Name/Description of Service Project

Number of Members Involved

Number of CERTIFIED Leaders Involved

Length of Service Project (hours)

How did this service project benefit your community? Select the category that best describes the service project.

Service Project 19

Name/Description of Service Project

Number of Members Involved

Number of CERTIFIED Leaders Involved

Length of Service Project (hours)

How did this service project benefit your community? Select the category that best describes the service project.

Service Project 20

Name/Description of Service Project

Number of Members Involved

Number of CERTIFIED Leaders Involved

Length of Service Project (hours)

How did this service project benefit your community? Select the category that best describes the service project.