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TUSDM Community Engagement Documentation

Please fill out this community service learning documentation form within a week of your community engagement activity, event, or virtual lesson. This required form should take about five minutes.

If you have any questions, please contact Zhanea Nicholson, Administrative Assistant of the Department of Public Health & Community Service, at zhanea.nicholson@tufts.edu.

Your Information

Your Name:

First Name

Last Name

Class Year:

Tufts Student Organization(s) (if applicable):

Email:

Your Event

Name of Event

Date of Event (mm/dd/yyyy):

What type of volunteer work did you preform?

A. In person volunteering
B. Online/Remote Community Service
C. Donation Only (no Community Service)