Part 1 Individual Information

Name
E-mail

Graduating Year

Major

Select a Major undecided accounting accounting/mathmatical science american studies anthropology art art history astronomy biology business chemistry communication computer science creative writing criminal justice economics education english environmental science foreign languages/literature french german history international studies literature mathematics music near east culture/archeology nursing other philosophy physics political science psychology religion sociology/anthropology spanish theatre

2nd Major

Select a 2nd Major none accounting accounting/mathmatical science american studies anthropology art art history astronomy biology business chemistry communication computer science creative writing criminal justice economics education english environmental science foreign languages/literature french german history international studies literature mathematics music near east culture/archeology nursing other philosophy physics political science psychology religion sociology/anthropology spanish theatre

Minor

Select a Minor none accounting accounting/mathmatical science american studies anthropology art art history astronomy biology business chemistry communication computer science creative writing criminal justice economics education elementary/secondary education english environmental science foreign languages/literature french german history international studies literature mathematics music near east culture/archeology nursing other philosophy physics political science psychology religion sociology/anthropology spanish theatre

2nd Minor

Select a 2nd Minor none accounting accounting/mathmatical science american studies anthropology art art history astronomy biology business chemistry communication computer science creative writing criminal justice economics education elementary/secondary education english environmental science foreign languages/literature french german history international studies literature mathematics music near east culture/archeology nursing other philosophy physics political science psychology religion sociology/anthropology spanish theatre

Part 2 Service Information

Name of Agency

Select an Agency Adopt-a-Highway Aids Resource American Cancer Society American Heart Association American Lung Association American Red Cross American Rescue Workers Ashler Manor AYSO Soccer BiCounty Office of Aging Big Brothers/Big Sisters Birthright Blast Intermediate Unit Boy Scouts Bureau of Forests Children's Development Center Children's Discovery Workshop Cochran Elementary School Community Policing Program Community Service Center Computer Literacy/J.V. Brown Library Counseling and Consulting Specialists Curtin Middle School Easter Seal Society of Central Pa. F.L.O.A.T. Family Center for Reproductive Health Farragut Wildlife Rehabilitation Habitat for Humanity Hemlock Girl Scouts Hepburn Lycoming Elementary School Hope Enterprises Jackson Elementary-STARS Program KidsPeace Foster Care Agency L.A.P.S. Literacy Project/J.V. Brown Library Little League Baseball Little Pine State Park Loyalsock School District Lycoming Child Care Lycoming-Clinton Head Start Lycoming-Clinton Mental Health/Retardation Lycoming College Lycoming County Prison Lycoming County Therapeutic Horseback Riding Lycoming Housing Development Corp. Lycoming United Way Manor Care North Meadows Living Community National Multiple Sclerosis Society North Central Sight Services Northeast Pa. Alzheimer Assoc. Partners in Golf Penn Vale-Lycoming County Housing Authority Providence House Rider Park Ronald McDonald House Rose View Nursing Home S.P.C.A. Safer Children Agency Salvation Army Sheperd of the Streets Special Kids Network Special Olympics St. Anthony's Center St. Anthony's Medical Clinic St. Boniface School St. Mark's Luthern Church Health & Healing Staje & Associates Step Inc. Steven's School Sun Home Health Services SunnyBrook Meadows Therapeutic Ridings Susquehanna Health System Susquehanna Regional Home Health Services Sycamore Manor Health Center T.A.P. Trinity Episcopal Church The Center Community Center-STEP Timberland Apartments Transitional Living Center Tressler Luthern Services United Churches-Food Bank Valley View Nursing Center Volunteer Caregivers Williamsport Area Schools Williamsport Home Williamsport Housing Authority Williamsport Police Department Y.M.C.A. Y.W.C.A. Yokesfellows Prison Ministry Young Life none

Other

Project/Event

 I Volunteered For: (Select only one)

          Work Study

          Service Sanction

Fraternity/Sorority If you selected this button, select a Fraternity/Sorority Alpha Rho Omega Alpha Sigma Tau Alpha Xi Delta Beta Phi Gamma Gamma Delta Sigma Kappa Delta Rho Lambda Chi Alpha Phi Kappa Psi Phi Mu Delta Tau Kappa Epsilon

Campus Organization If you selected this button, select a Campus Organization accounting society alpha psi omega amis amnesty international arrow yearbook association for computing machinery band best buddies beta beta beta big brothers/big sisters business administration honor society c.s.class c.a.b. chemistry club choices choir circle k commuter student organization creative arts society crew club criminal justice society english society equestrian club float freshman class global gamma sigma alpha greek grand council habitat for humanity interface interfraternity council j.v. brown library juggling club kappa delta pi lycoming college democrats lycoming college karate club lycoming college student television lycoming college young republicans leaf lycourier mass comm. society men's fellowship group multicultural awareness group omicron delta epsilon other panhellinic council peer counselors peer ministers phi alpha theta phi kappa phi phi sigma iota pi gamm mu pi sigma alpha political science club pre-health society pre-law society psi chi psychology club r.o.t.c. r.c.a. service-learning sigma pi sigma sigma tau delta sigma theta tau society of physics students sociology/anthropology society spanish club spectrum student education association student nurses assoc. of pa student senate the public forum u.c.m. utopia wilderness club wrlc radio station

Residence Hall

Athletic Team If you selected this button, select an Athletic Team cheerleading football golf intramural basketball intramural flag football intramural indoor soccer intramural softball intramural volleyball men's basketball men's lacrosse men's soccer men's tennis softball swimming track and field volleyball women's basketball women's lacrosse women's soccer women's tennis wrestling

Personal Volunteer Work

Academic Course If you selected this button, select an Academic Course accounting american studies art astronomy/physics biology business chemistry communication community service class computer science creative writing criminal justice economics education english foreign languages/literature history international studies literature mathematics music near east culture/archeology nursing philosophy physical education political science psychology religion sociology/anthropology theatre  

Other

Beginning Date of Project

-- mm/dd/yy

Ending Date of Project

-- mm/dd/yy

Total Number of Hours to the Nearest 1/4 Hour

Click here if you want to enter in more individual service projects. Additional Individual Form