Log Your Volunteer Hours

UI students are making a difference by volunteering in our community, state, and country on a daily basis. Help the UI Civic Engagement Program track the impact these efforts are having by using the form below. You will then receive an email with a copy of the information you submitted to print and keep for your records.

Instructions:
Please complete and submit this form for each separate volunteer experience in which you have participated.

All fields are required unless otherwise noted.

Your Information

First Name:
Last Name:
HawkID: Ex: jsmith (NOT your Sudent ID number)
E-mail Address:
Student Type:

Your Volunteer Experience
Organization Name:
Event Title (if applicable):
Start Date:  Select Date
End Date (optional):  Select Date
Description of Volunteer Work:
Total Hours Volunteered:
Rate Your Volunteering Experience:
Please elaborate on your volunteering experience rating:
(optional)
Would you recommend this volunteer experience to others? Yes No

Volunteering Questionnaire
In general, would you volunteer again?
Yes No
Have you encouraged any of your friends to volunteer?
Yes No
May we contact you to follow-up regarding your volunteering experiences?
Yes No