<p> AMERICORPS SERVICE ACTIVITY REPORTING FORM</p><p>Program Name: </p><p>Program Activity: </p><p>Date(s) of Activity: </p><p>Number of Hours Spent: </p><p>Number of your program’s AmeriCorps Members who participated: Total number of participants/people involved in the event: </p><p>Was this activity done in conjunction with a National Day of Service? <select one> If yes which one: Please describe the type of service that was conducted: </p><p>Please describe planning efforts for the event: </p><p>Did you collaborate with other AmeriCorps programs for this service activity? <select one> If yes, please describe the collaboration and the name of the collaborating organizations. </p><p>Please submit any great stories from members, copies of pictures, copies of news articles, or describe any other publicity you received from your service. </p><p>Please provide contact information for someone from your program who we can contact for additional information about this event: </p><p>Name: Phone Number: Email: </p><p>OneStar Foundation | 816 Congress Ave., Ste. 900 | Austin, Texas 78701 | Ph: 512.473.2140 | Fax: 512.473.8228 www.onestarfoundation.org</p>