Community Service Activities Form

Please complete a new form any time you render a service to the community as a college representative or as a result of your professional knowledge or expertise related to your position at the college. Activities conducted on behalf of NACC students are not included in this category.

1. Employee Name *This question is required.

2. NACC E-mail Address This question requires a valid email address.

3. Position (Your Official Title) *This question is required.

4. Department/Division *This question is required.

5. Date(s) of Service Activity *This question is required.

6. Location of Activity (Please list city and state. If the activity is a webinar, please put "webinar" in this space.) *This question is required.

7. Description of Service/Activity *This question is required.

Beginning 8/20/2020, you will receive an automatically generated PDF via e-mail from the Office of Institutional Planning and Assessment. The e-mail address will be "noreply@surveygizmo.com."

Community Service Activities Form-OLD

Community Service Activities Form