"Activities and Service Chart Template - Mount Mercy University"

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Activities and Service Chart
Student Name: ________________________________________________________________________
High School: __________________________________________________________________________
You are more than a student! Tell us about your involvement, community service, and volunteerism in activities during
your high school years that have made a difference for you and for others. Use the following headings as a guide. (You
may also create your own document using the same column headings.)
Activity and Description: Name the activity in which you
Category:
Role: Describe the
Involvement:
Commitment:
participated (e.g., Tutoring, Peer Group, Athletic Team, Music
Volunteer, athletics,
role you played
List the grades
Estimate the average
etc.). and describe if necessary
music, co-curricular,
(e.g., volunteer,
in which you
number of hours per
church, community,
captain, member,
participated in
week you spent on this
activity. (i.e. 3 hours a
work, etc.
vice-president, etc.).
the activity (i.e.,
9th, 10th, 11th,
week in the spring / 4
12th)
hours a week year
round)
Activities and Service Chart
Student Name: ________________________________________________________________________
High School: __________________________________________________________________________
You are more than a student! Tell us about your involvement, community service, and volunteerism in activities during
your high school years that have made a difference for you and for others. Use the following headings as a guide. (You
may also create your own document using the same column headings.)
Activity and Description: Name the activity in which you
Category:
Role: Describe the
Involvement:
Commitment:
participated (e.g., Tutoring, Peer Group, Athletic Team, Music
Volunteer, athletics,
role you played
List the grades
Estimate the average
etc.). and describe if necessary
music, co-curricular,
(e.g., volunteer,
in which you
number of hours per
church, community,
captain, member,
participated in
week you spent on this
activity. (i.e. 3 hours a
work, etc.
vice-president, etc.).
the activity (i.e.,
9th, 10th, 11th,
week in the spring / 4
12th)
hours a week year
round)
Activity and Description: Name the activity in which you
Category: Volunteer,
Role: Describe the
Involvement: List
Commitment:
participated (e.g., Tutoring, Peer Group, Athletic Team, Music etc.).
athletics, music, co-
role you played
the grades in
Estimate the
and describe if necessary
curricular, church,
(e.g., volunteer,
which you
average number of
community, etc.
captain, member,
participated in the
hours per week
vice-president, etc.).
activity (i.e., 9th,
you contributed.
10th, 11th, 12th)
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