{"id":8,"date":"2018-01-09T17:07:49","date_gmt":"2018-01-09T17:07:49","guid":{"rendered":"http:\/\/wcsu.wpengine.com\/community-service\/cs-reporting\/"},"modified":"2025-04-07T18:49:42","modified_gmt":"2025-04-07T18:49:42","slug":"form","status":"publish","type":"page","link":"https:\/\/www.wcsu.edu\/community-service\/report-hours\/form\/","title":{"rendered":"Community Service\u00a0Reporting Form"},"content":{"rendered":"<p>This form is to be used by clubs\/student organizations, students, faculty, and staff to record community service hours.<\/p>\n<style>.wForm form{text-align: left;}<\/style><!-- FORM: HEAD SECTION -->\n    <meta http-equiv=\"Content-Type\" content=\"text\/html; charset=utf-8\" \/>\n    <meta name=\"referrer\" content=\"no-referrer-when-downgrade\">\n    <!-- THIS SCRIPT NEEDS TO BE LOADED FIRST BEFORE wforms.js -->\n    <script type=\"text\/javascript\" data-for=\"FA__DOMContentLoadedEventDispatch\" 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data-language=\"en_US\" dir=\"ltr\">\n<div class=\"codesection\" id=\"code-130\"><\/div>\n<h3 class=\"wFormTitle\" data-testid=\"form-title\" id=\"130-T\"><span style=\"color: rgb(68, 68, 68); font-family: HelveticaNeue-Light, &quot;Helvetica Neue Light&quot;, &quot;Helvetica Neue&quot;, Helvetica, Arial, &quot;Lucida Grande&quot;, sans-serif; font-size: 13px; font-weight: 400; background-color: rgb(255, 255, 255);\">This form is to be used by clubs\/Student organizations,&nbsp;<\/span><span style=\"color: rgb(68, 68, 68); font-family: HelveticaNeue-Light, &quot;Helvetica Neue Light&quot;, &quot;Helvetica Neue&quot;, Helvetica, Arial, &quot;Lucida Grande&quot;, sans-serif; font-size: 13px; font-weight: 400; background-color: rgb(255, 255, 255);\">students, faculty, and staff to record community service hours.<\/span><\/h3>\n<form method=\"post\" action=\"https:\/\/westconn.tfaforms.net\/api_v2\/rest\/workflow\/processor\" class=\"hintsBelow labelsAbove\" id=\"130\">\n<div 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`#tfa_4`\">\n<legend id=\"tfa_52-L\">Contact Information<\/legend>\n<div class=\"oneField field-container-D  labelsLeftAligned  \" id=\"tfa_5-D\">\n<label id=\"tfa_5-L\" class=\"label preField \" for=\"tfa_5\"><span style=\"font-weight: normal;\">First Name:<\/span><\/label><div class=\"inputWrapper\"><input type=\"text\" id=\"tfa_5\" name=\"tfa_5\" value=\"\" title=\"First Name:\" class=\"\"><\/div>\n<\/div>\n<div class=\"oneField field-container-D  labelsRightAligned  \" id=\"tfa_7-D\">\n<label id=\"tfa_7-L\" class=\"label preField \" for=\"tfa_7\"><span style=\"font-weight: normal;\">Last Name:<\/span><\/label><div class=\"inputWrapper\"><input type=\"text\" id=\"tfa_7\" name=\"tfa_7\" value=\"\" title=\"Last Name:\" class=\"\"><\/div>\n<\/div>\n<div class=\"oneField field-container-D  labelsLeftAligned  \" id=\"tfa_9-D\">\n<label id=\"tfa_9-L\" class=\"label preField \" for=\"tfa_9\"><span style=\"font-weight: normal;\">Phone:<\/span><\/label><div class=\"inputWrapper\"><input type=\"text\" id=\"tfa_9\" name=\"tfa_9\" value=\"\" title=\"Phone:\" class=\"\"><\/div>\n<\/div>\n<div class=\"oneField field-container-D  labelsLeftAligned  \" id=\"tfa_10-D\">\n<label id=\"tfa_10-L\" class=\"label preField \" for=\"tfa_10\"><span style=\"font-weight: normal;\">Email Address:<\/span><\/label><div class=\"inputWrapper\"><input type=\"text\" id=\"tfa_10\" name=\"tfa_10\" value=\"\" title=\"Email Address:\" class=\"validate-email\"><\/div>\n<\/div>\n<div class=\"oneField field-container-D  labelsLeftAligned  \" id=\"tfa_12-D\">\n<label id=\"tfa_12-L\" class=\"label preField \" for=\"tfa_12\"><span style=\"font-weight: normal;\">University ID Number:<\/span><\/label><div class=\"inputWrapper\"><input type=\"text\" id=\"tfa_12\" name=\"tfa_12\" value=\"\" title=\"University ID Number:\" class=\"\"><\/div>\n<\/div>\n<div class=\"oneField field-container-D  labelsLeftAligned  \" id=\"tfa_13-D\">\n<label id=\"tfa_13-L\" class=\"label preField \" for=\"tfa_13\"><span style=\"font-weight: normal;\">Department\/Major:<\/span><\/label><div class=\"inputWrapper\"><input type=\"text\" id=\"tfa_13\" name=\"tfa_13\" value=\"\" title=\"Department\/Major:\" class=\"\"><\/div>\n<\/div>\n<\/fieldset><\/div>\n<fieldset id=\"tfa_54\" class=\"section\" data-condition=\"`#tfa_51`\">\n<legend id=\"tfa_54-L\">Contact Information<\/legend>\n<div class=\"oneField field-container-D  labelsLeftAligned  \" id=\"tfa_53-D\">\n<label id=\"tfa_53-L\" class=\"label preField \" for=\"tfa_53\">Name of the Club\/Student Organization:<\/label><div class=\"inputWrapper\"><input type=\"text\" id=\"tfa_53\" name=\"tfa_53\" value=\"\" title=\"Name of the Club\/Student Organization:\" class=\"\"><\/div>\n<\/div>\n<div class=\"oneField field-container-D    \" id=\"tfa_56-D\">\n<label id=\"tfa_56-L\" class=\"label preField \" for=\"tfa_56\">List all members of the Student Organization who participated:<\/label><br><div class=\"inputWrapper\"><textarea id=\"tfa_56\" name=\"tfa_56\" title=\"List all members of the Student Organization who participated:\" class=\"\"><\/textarea><\/div>\n<\/div>\n<\/fieldset>\n<div class=\"oneField field-container-D  labelsLeftAligned  \" id=\"tfa_14-D\">\n<label id=\"tfa_14-L\" class=\"label preField \" for=\"tfa_14\"><span style=\"font-weight: normal;\">Location\/Organization where community service was provided:<\/span><\/label><div class=\"inputWrapper\"><input type=\"text\" id=\"tfa_14\" name=\"tfa_14\" value=\"\" title=\"Location\/Organization where community service was provided:\" class=\"\"><\/div>\n<\/div>\n<div class=\"htmlSection\" id=\"tfa_22\"><div class=\"htmlContent\" id=\"tfa_22-HTML\">&nbsp; &nbsp;<\/div><\/div>\n<div id=\"tfa_15\" class=\"section group\">\n<label class=\"label preField\" id=\"tfa_15-L\">Address:<\/label><br><div id=\"tfa_18\" class=\"section inline group\">\n<div class=\"oneField field-container-D  labelsLeftAligned  \" id=\"tfa_16-D\">\n<label id=\"tfa_16-L\" class=\"label preField \" for=\"tfa_16\"><span style=\"font-weight: normal;\">Street:<\/span><\/label><div class=\"inputWrapper\"><input type=\"text\" id=\"tfa_16\" name=\"tfa_16\" value=\"\" title=\"Street:\" class=\"\"><\/div>\n<\/div>\n<div class=\"oneField field-container-D  labelsLeftAligned  \" id=\"tfa_17-D\">\n<label id=\"tfa_17-L\" class=\"label preField \" for=\"tfa_17\"><span style=\"font-weight: normal;\">City:<\/span><\/label><div class=\"inputWrapper\"><input type=\"text\" id=\"tfa_17\" name=\"tfa_17\" value=\"\" title=\"City:\" class=\"\"><\/div>\n<\/div>\n<div class=\"oneField field-container-D  labelsLeftAligned  \" id=\"tfa_19-D\">\n<label id=\"tfa_19-L\" class=\"label preField \" for=\"tfa_19\"><span style=\"font-weight: normal;\">State:<\/span><\/label><div class=\"inputWrapper\"><input type=\"text\" id=\"tfa_19\" name=\"tfa_19\" value=\"\" title=\"State:\" class=\"\"><\/div>\n<\/div>\n<div class=\"oneField field-container-D  labelsLeftAligned  \" id=\"tfa_20-D\">\n<label id=\"tfa_20-L\" class=\"label preField \" for=\"tfa_20\"><span style=\"font-weight: normal;\">Zip:<\/span><\/label><div class=\"inputWrapper\"><input type=\"text\" id=\"tfa_20\" name=\"tfa_20\" value=\"\" title=\"Zip:\" class=\"\"><\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"htmlSection\" id=\"tfa_23\"><div class=\"htmlContent\" id=\"tfa_23-HTML\">&nbsp; &nbsp; &nbsp; &nbsp;<\/div><\/div>\n<div id=\"tfa_24\" class=\"section column group\"><table class=\"columnLayout\"><tr><td><div class=\"htmlSection\" id=\"tfa_25\"><div class=\"htmlContent\" id=\"tfa_25-HTML\"><font color=\"#444444\" face=\"HelveticaNeue-Light, Helvetica Neue Light, Helvetica Neue, Helvetica, Arial, Lucida Grande, sans-serif\"><span style=\"background-color: rgb(255, 255, 255);\"><b>Contact person at location who can verify this service was provided:<\/b><\/span><\/font><\/div><\/div><\/td><\/tr><\/table><\/div>\n<div id=\"tfa_26\" class=\"section group\"><div id=\"tfa_29\" class=\"section inline group\">\n<div class=\"oneField field-container-D  labelsLeftAligned  \" id=\"tfa_27-D\">\n<label id=\"tfa_27-L\" class=\"label preField \" for=\"tfa_27\"><span style=\"font-weight: normal;\">First Name:<\/span><\/label><div class=\"inputWrapper\"><input type=\"text\" id=\"tfa_27\" name=\"tfa_27\" value=\"\" title=\"First Name:\" class=\"\"><\/div>\n<\/div>\n<div class=\"oneField field-container-D  labelsLeftAligned  \" id=\"tfa_28-D\">\n<label id=\"tfa_28-L\" class=\"label preField \" for=\"tfa_28\"><span style=\"font-weight: normal;\">Last Name:<\/span><\/label><div class=\"inputWrapper\"><input type=\"text\" id=\"tfa_28\" name=\"tfa_28\" value=\"\" title=\"Last Name:\" class=\"\"><\/div>\n<\/div>\n<\/div><\/div>\n<div id=\"tfa_32\" class=\"section inline group\">\n<div class=\"oneField field-container-D  labelsLeftAligned  \" id=\"tfa_30-D\">\n<label id=\"tfa_30-L\" class=\"label preField \" for=\"tfa_30\"><span style=\"font-weight: normal;\">Phone:<\/span><\/label><div class=\"inputWrapper\"><input type=\"text\" id=\"tfa_30\" name=\"tfa_30\" value=\"\" title=\"Phone:\" class=\"\"><\/div>\n<\/div>\n<div class=\"oneField field-container-D  labelsLeftAligned  \" id=\"tfa_31-D\">\n<label id=\"tfa_31-L\" class=\"label preField \" for=\"tfa_31\"><span style=\"font-weight: normal;\">Email Address:<\/span><\/label><div class=\"inputWrapper\"><input type=\"text\" id=\"tfa_31\" name=\"tfa_31\" value=\"\" title=\"Email Address:\" class=\"\"><\/div>\n<\/div>\n<\/div>\n<div class=\"htmlSection\" id=\"tfa_33\"><div class=\"htmlContent\" id=\"tfa_33-HTML\">&nbsp; &nbsp; &nbsp; &nbsp; &nbsp;<\/div><\/div>\n<div class=\"oneField field-container-D  labelsLeftAligned  \" id=\"tfa_34-D\">\n<label id=\"tfa_34-L\" class=\"label preField \" for=\"tfa_34\">Type of Service:<\/label><div class=\"inputWrapper\"><select id=\"tfa_34\" name=\"tfa_34\" title=\"Type of Service:\" class=\"\"><option value=\"\">Please select...<\/option>\n<option value=\"tfa_35\" id=\"tfa_35\" class=\"\">Academic\/Tutoring<\/option>\n<option value=\"tfa_36\" id=\"tfa_36\" class=\"\">Enhancing the Neighborhood<\/option>\n<option value=\"tfa_37\" id=\"tfa_37\" class=\"\">The Environment<\/option>\n<option value=\"tfa_38\" id=\"tfa_38\" class=\"\">Fundraising Event<\/option>\n<option value=\"tfa_39\" id=\"tfa_39\" class=\"\">Helping Animals<\/option>\n<option value=\"tfa_40\" id=\"tfa_40\" class=\"\">Helping the Government<\/option>\n<option value=\"tfa_41\" id=\"tfa_41\" class=\"\">Helping the Hungry\/Homeless<\/option>\n<option value=\"tfa_42\" id=\"tfa_42\" class=\"\">Helping Senior Citizens<\/option>\n<option value=\"tfa_43\" id=\"tfa_43\" class=\"\">Helping those with Special Needs<\/option>\n<option value=\"tfa_44\" id=\"tfa_44\" class=\"\">Performing Arts and Sports<\/option>\n<option value=\"tfa_45\" id=\"tfa_45\" class=\"\">Other<\/option><\/select><\/div>\n<\/div>\n<div class=\"oneField field-container-D  labelsLeftAligned  \" id=\"tfa_46-D\">\n<label id=\"tfa_46-L\" class=\"label preField \" for=\"tfa_46\"><span style=\"font-weight: normal;\">If you selected \"other\" above, please tell us what you did:<\/span><\/label><div class=\"inputWrapper\"><input type=\"text\" id=\"tfa_46\" name=\"tfa_46\" value=\"\" title='If you selected \"other\" above, please tell us what you did:' class=\"\"><\/div>\n<\/div>\n<div class=\"oneField field-container-D  labelsLeftAligned  \" id=\"tfa_47-D\">\n<label id=\"tfa_47-L\" class=\"label preField \" for=\"tfa_47\"><span style=\"font-weight: normal;\">Number of hours volunteered:<\/span><\/label><div class=\"inputWrapper\"><input type=\"text\" id=\"tfa_47\" name=\"tfa_47\" value=\"\" data-condition=\"`#tfa_2` OR `#tfa_3` OR `#tfa_4`\" title=\"Number of hours volunteered:\" class=\"\"><\/div>\n<\/div>\n<div class=\"oneField field-container-D  labelsLeftAligned  \" id=\"tfa_58-D\">\n<label id=\"tfa_58-L\" class=\"label preField \" for=\"tfa_58\"><span style=\"font-weight: normal;\">Number of combined hours volunteered:<\/span><\/label><div class=\"inputWrapper\"><input type=\"text\" id=\"tfa_58\" name=\"tfa_58\" value=\"\" data-condition=\"`#tfa_51`\" title=\"Number of combined hours volunteered:\" class=\"\"><\/div>\n<\/div>\n<div class=\"oneField field-container-D  labelsLeftAligned  \" id=\"tfa_48-D\">\n<label id=\"tfa_48-L\" class=\"label preField \" for=\"tfa_48\"><span style=\"font-weight: normal;\">Date\/Dates this service was provided:<\/span><\/label><div class=\"inputWrapper\"><input type=\"text\" id=\"tfa_48\" name=\"tfa_48\" value=\"\" title=\"Date\/Dates this service was provided:\" class=\"\"><\/div>\n<\/div>\n<div class=\"oneField field-container-D    \" id=\"tfa_49-D\">\n<label id=\"tfa_49-L\" class=\"label preField \" for=\"tfa_49\"><span style=\"font-weight: normal;\">Short description of the project:<\/span><\/label><br><div class=\"inputWrapper\"><textarea id=\"tfa_49\" name=\"tfa_49\" title=\"Short description of the project:\" class=\"\"><\/textarea><\/div>\n<\/div>\n<div class=\"htmlSection\" id=\"tfa_50\"><div class=\"htmlContent\" id=\"tfa_50-HTML\">Thank you for volunteering your time and for reporting your hours.<\/div><\/div>\n<div class=\"actions\" id=\"130-A\" data-contentid=\"submit_button\"><input type=\"submit\" data-label=\"Submit\" class=\"primaryAction\" id=\"submit_button\" value=\"Submit\"><\/div>\n<div style=\"clear:both\"><\/div>\n<input type=\"hidden\" value=\"420-1f45457d5dcdd97a1ac6308689f74799\" name=\"tfa_dbCounters\" id=\"tfa_dbCounters\" autocomplete=\"off\"><input type=\"hidden\" value=\"130\" name=\"tfa_dbFormId\" id=\"tfa_dbFormId\"><input type=\"hidden\" value=\"\" name=\"tfa_dbResponseId\" id=\"tfa_dbResponseId\"><input type=\"hidden\" value=\"fd2c55f252313d39b009564e89033610\" name=\"tfa_dbControl\" id=\"tfa_dbControl\"><input type=\"hidden\" value=\"\" name=\"tfa_dbWorkflowSessionUuid\" id=\"tfa_dbWorkflowSessionUuid\"><input type=\"hidden\" value=\"1775582490\" name=\"tfa_dbTimeStarted\" id=\"tfa_dbTimeStarted\" autocomplete=\"off\"><input type=\"hidden\" value=\"20\" name=\"tfa_dbVersionId\" id=\"tfa_dbVersionId\"><input type=\"hidden\" value=\"\" name=\"tfa_switchedoff\" id=\"tfa_switchedoff\">\n<\/form>\n<\/div><\/div><div class=\"wFormFooter\"><p class=\"supportInfo\"><br><\/p><\/div>\n  <p class=\"supportInfo\" >\n      <\/p>\n <\/div>\n\n<script\n    id=\"analytics-collector-script\"\n    type=\"text\/javascript\"\n    src=\"https:\/\/westconn.tfaforms.net\/dist\/analytics\/data-collector.f9f54c12ade21135b7c2.js\"\n    data-customer-id=\"766\"\n    data-endpoint=\"https:\/\/analytics.formassembly.com\/v1\/traces\"\n><\/script>\n\n\n<p>For any questions please call 203-837-9700 or email <a href=\"mailto:diazv@wcsu.edu\">diazv@wcsu.edu<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>This form is to be used by clubs\/student organizations, students, faculty, and staff to record community service hours. For any questions please call 203-837-9700 or email diazv@wcsu.edu.<\/p>\n","protected":false},"author":218,"featured_media":0,"parent":7,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"left-navigation.php","meta":{"footnotes":""},"class_list":["post-8","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.wcsu.edu\/community-service\/wp-json\/wp\/v2\/pages\/8","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.wcsu.edu\/community-service\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.wcsu.edu\/community-service\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.wcsu.edu\/community-service\/wp-json\/wp\/v2\/users\/218"}],"replies":[{"embeddable":true,"href":"https:\/\/www.wcsu.edu\/community-service\/wp-json\/wp\/v2\/comments?post=8"}],"version-history":[{"count":0,"href":"https:\/\/www.wcsu.edu\/community-service\/wp-json\/wp\/v2\/pages\/8\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/www.wcsu.edu\/community-service\/wp-json\/wp\/v2\/pages\/7"}],"wp:attachment":[{"href":"https:\/\/www.wcsu.edu\/community-service\/wp-json\/wp\/v2\/media?parent=8"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}