AY 2020-2021 COM-Student Event Summary Report

Student Affairs

200 University Parkway, Suite 317

Yakima WA 98901

Phone: 509-249-7724

Fax: 509-249-7909

Contact Name: *

First Name Middle Name Last Name

Contact Phone: *

Area Code Phone Number

Contact Email: *

example@example.com

Event/Activity Title: *

Event/Activity Start Date: *

Date Hour Minutes AM/PM Option

Event/Activity End Date: *

Date Hour Minutes AM/PM Option

Will you be counting this as your Community Service Activity? *

Yes No

Club Name: *

If other, please list club name: *

The activity/event included or promoted OMM/OMT/OPP? *

Yes No

Indicate if the activity or event served, or was in partnership with, another community based or non-profiit organization outside of PNWU. *

Community Based Organization Nonprofit Organization Community Based and Nonprofit Organization N/A

Please list the name of the organization

Select City and State where event was held

City *

State *

Was the event/activity goal met, as stated above? *

Yes No

What was the outcome of this event? *

Was it successful? How did you measure your success? What did the participants learn? Was it beneficial to those served?

Number of PNWU staff and/or faculty that participated *

Number Of PNWU Students that participated *

Number Of MAMS students that participated *

Number Of PA students that participated *

Number Of Pharmacy students that participated *

Number Of Nursing students that participated *

Total number of hours spent by all students involved in this activity/event (this can be an estimate and includes hours spent in preparation, at/during the activity/event and any follow up): *

Total Number of people served by the activity/event: *

Were community members served? *

Yes No

Explain how community members were served: *

Was the PNWU community served? *

Yes No

Explain how the PNWU community was served *

Did your club provide any goods (food, clothing, equipment, books, supplies, etc.) to those served? *

Yes No

If yes, please describe goods/services provided: *

What was the approximate dollar value of goods/services provided: *

Valuation of Goods Provided

For additional information on valuation of donations click here

Calculating Volunteer Service Time

National value of colunteer time: the estimated value of volunteer time for 2015 is $23.56 per hour.

Washington State value for volunteer time is $28.99 per hour. However, for eas of calculation, the national rate should be used.

Source: Independent Sector, April 14, 2016

1. Calculate value based on all general volunteer service hours that were PNWU affiliated/approved (club events, service to professional organizations, extracurricular activities, etc.

2. Calculate specialized value based on the Financial Accounting Standards Board (FASB) regulations for financial reporting: the volunteer is performing a specialied skill* for a nonprofit and the organization would have purchased the services had they not been donated. Use the Bureau of Labor Statistics hourly wage by occupation.

3. Combine the calculated value of general volunteer time and specialized volunteer time.

* The volunteer must be performing the skill for which he/she is trained to use the specialized skill rate. In other words, if a doctor is painting a fence, he/she cannot use the physician rate. He/she would use the national value rate ($23.56).

Student Event Summary Report

Event Outcomes

Volunteer Service Information

Thank you for taking the time to complete the PNWU Student Event Summary Report! If you have question email studentaffairs@pnwu.edu.