Community Involvement Survey for Individuals

Please help us to document Millikin University's service contributions to the campus and community by adding your contributions here. We appreciate you taking the time to complete this survey.
- The Career Center

Name of person completing survey:

I am a (please check one)

Was this service done as part of a course requirement?
If so, please list the course and the instructor.

Was this service done as part of a Learning Community requirement in the residence hall?
Yes   No  

Was this service done through membership in a student organization?
Yes   No  
Name of student organization:

Was this service done through membership in a Greek organization?
Yes   No  
Greek organization:

Please list the date(s) of your service activity/project or event (month/day/year).

Project Title or Event Name(if applicable):

Focus of service activity/event or issue being addressed:

Did you work with a specific community organization? If so, please check below:

Please briefly describe your service activity/project.

Number of hours of service you completed for this project/event:

Number of service recipients (people you helped) if known:

Please tell us about the impact of your efforts. What benefit was it to the community? How did you help make a difference? If you raised money, please list the amount.

Please tell us how you believe this service activity/event impacted you and other participants.

If you have pictures of your service event/project that you would like to share, please e-mail them to

Please re-enter the survey to add additional service projects/events in which you participated.