Clone of Maverick 30 for 30 Interest Form

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Mavericks, thank you for giving back to our amazing Montgomery community! Whether you're volunteering for the first time or have been a part of this all semester, we appreciate you being a part of LSC-Montgomery's 30 for 30 Maverick Service Initiative.

The 30 Acts of Service for 30 Years Service Initiative focuses on supporting campus and community organizations, and fostering stronger community connections through enriching volunteering opportunities.

We look forward to seeing both our individual and collective community impact, and look forward to celebrating those accomplishments together.
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Tell us about your 30 for 30 Service hours!

Students, faculty and staff are encouraged to submit their service information each time they participate in an on-or-off Maverick 30 for 30 campus event. By completing the following form (it should take you about 2 min. to complete!), we'll be able to track all of the completed individual and campus service hours.

At the end of the Fall and Spring semesters, we'll reach out to you to provide you with your total service hours and get ready for the fun part - you'll be receive special 30th Anniversary swag and an invitation to a 30 for 30 Maverick Acts of Service Reception! See, I told you it would be fun. :)

Complete the following form questions and submit your participant information today!
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At the end of the Fall and Spring semesters, we'll reach out to you to provide you with your total hours serviced and get ready for the fun part - you'll be receive a special invitation to a 30 for 30 Maverick Acts of Service Reception! See, I told you it would be fun. :)

Please take a moment to complete the following form questions and submit your participant information today!

Go Mavericks!
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Tell us more about you! I am a:
Faculty/Staff
Student
Student Organization
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Tell us your name:* This field is required.
First Name
Last Name
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And what's your email address?* This field is required.
example@lonestar.edu
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And your phone number? Promise we won't call you. * This field is required.
Please enter a valid phone number.
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Tell us a little bit more about you!
Please Select
Please Select
Full-time Faculty
Adjunct Faculty
Full-time Staff
Part-time Staff
Student Worker
Student
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Which department are you in?
Please Select
Please Select
ACE Division
Administration
A.L.L.
BASS Division
Business Office
Campus Police
Continuing Education
CREATE Division
Facilities
Honors College
Human Resources
Learning & Engagement
LA Division
Learning and Engagement
LIFE Division
MAPS Division
MARCOM
OTS
Presidents Office
Student Life
Student Success Division
Workforce
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Which campus do you work at?
Please Select
Please Select
Conroe Center
Creekside Center
Montgomery
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Student InformationPlease provide us with your LSC Student ID Number
Student ID Number
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Student OrganizationsWhich campus student organization are you a part of?
Student Organization
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Participant DateSelect the date that you participated in a on/off campus activity
Date
Year
Month
Day
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Participant EventWhich event did you participate in?
Name of Event
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Participant HoursHow many hours did you participate in the event?
Total number of hours (ex. 2)
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Did you like this event?
YESNO
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Anything else you want to share about the event or service experience?
Huge
Large
Normal
Small
Ok
Ok
Should be Empty: