RS Community Service Form

After graduating from the Rogers Scholars Program, participants must fulfill the community service requirement in order to be eligible for scholarship opportunities. Graduates have one year upon their completion of the program to submit their community service project.

General Information

Name *

First

Last *

Last

Email *

County *

Project Information

Project name: *

Project description: *

Date of project completion: *

DD/MM/YY

Planning and implementation methods: *

Obstacles and challenges: *

Solutions to obstacles: *

Community leaders/organizations involved: *

Number of people impacted or served: *

Dollar value (estimate) of project impact: *

In two or three sentences, please describe what this project meant to you: *

Please provide a quote from someone impacted by your project or a community leader involved in your project: *

Media Kit - Share your story!

What local media outlets, if any, should we send the press release to? *

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