The Honors College at Eastern Michigan University
Community Service Agreement
IMPORTANT:
If your community service activity is not through The Honors College, VISION
(www.emich.edu/vision) or one of VISION’s community partners, you are REQUIRED to
have an Honors College staff member pre-approve and sign your community service
agreement.
If you do not receive pre-approval, there is no guarantee your service will be counted
toward your requirements.
Supervisor’s Printed Name Title and Organization
Supervisor’s Signature Date
PRE-APPROVAL
Honors College Staff Member Signature Date
Student Name (printed):
Student Signature:
EID:
Date(s) of Community
Service Project:
Project Description:
Return to: The Honor s College OR Email to: emuhonor s@emich.edu
511 W. Forest Ave
Eastern Michigan University
Emich Email:
DIRECTIONS:
When you have completed your service activity, have your supervisor sign the community
service agreement. Then, return the original copy to The Honors College and keep a copy for
your records.
Fall 2016—Winter 2017
Total Number of Hours:
