PTSA Senior Service Scholarship Application 2016-2017 DESCRIPTIVE SAMPLE

PART 1: DESCRIPTION OF SERVICE Table Title/Position/ Name, Address, Est Total # of Est # of Description of Name/Signature/ Description of Duties Telephone Number of Hours (per People Leadership Duties Contact Number of and Personal Wk/Mo/Yr) Served (If any) Supervising Adult Organization Responsibilities Any school or community List all or most of the Be specific Est. # of Planning and Typed name, followed based organizations organizations where about the individuals implementing of by signature and whose goal is to provide you served and be number of served for projects; current contact # and promote service in specific about what hours for each each org budgeting; leading (separate for each the community by you did at each one. opportunity and project younger kids; project if possible; making connections for its and project; fundraising; best if NOT a members to opportunities For ongoing leading meetings; relative) to serve in other commitments, recruiting other organizations (e.g., Beta list the volunteers; Club, NHS, NCL, etc.) number of making flyers and hours per posters wk/mo/yr. Any school-based clubs/ List each of these in a Est. the # of Est. # of To include any Typed name, followed extracurricular separate category hours for each individuals offices held, by signature and activities that provide and be specific about club/activity served for leadership of small current contact # support or services to the projects and ways and by each org groups, organizing (separate for each others within the you served within project- only and project and leading of project if possible; school or community each one. for those in meetings, public best if NOT a (environmental, which others relations, relative) philanthropic, religious, were being recruiting of other academic, etc.) Usually served volunteers, those which do not initiatives you provide class credit- or go began, etc. beyond in-class requirements (e.g., Operation Smile, tutoring or classroom assistance, PALS, FCA, JSA, Relay for Life, etc.) Any community-based List each of these in a Est. the # of Est. # of To include any Typed name, followed clubs or civic separate category hours for each individuals offices held, by signature and organizations (Not-for- and be specific about club/activity served for leadership of small current contact # profit, religious and the projects and ways and by each org groups, organizing (separate for each charitable groups) that you served within project- only and project and leading of project if possible; provide direct support each one. for those in meetings, public best if NOT a or services to others which others relations, relative) within the organization were being recruiting of other or community as a served vols., initiatives whole. (NFCC, Scouts, you began PTSA, Special Olympics, local church or synagogue, theaters, etc.)

Any camps or trips in List each of these in a Est. the # of Est. # of Include small Typed name, followed which you served others separate category hours for each individuals group leadership by signature and and did not receive any and be specific about camp or trip- served at and planning/ current contact # monetary the projects and ways only for those each camp organizing efforts (separate for each compensation or you served within in which others or trip project if possible; course credit each one were being best if NOT a served relative)

Any project or event that List each of these in a Est. the # of Est. # of Include all Typed name, followed you began or initiated separate category hours (be individuals planning, by signature and in your school or and be specific about specific and served by organizing and current contact # community which the projects and ways total by wk, your implementation (separate for each provided services or you served within mo or year or initiative efforts project if possible; support to others each one project total) best if NOT a relative)