Community Service Verification
 
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If you are an Old Westbury club planning a future community service or fundraising activity, fill out this form to have the event approved by the Community Service Center and Campus Life. If you are raising money for your own club, you need not complete this form.

 
1.
*
First and Last Name
 
   
2.
*
NYIT Email Address:
 
   
3.
*Required*
 
   
4.
 
   
5.
*
For ex: Meals on Wheels
 

 

 

 
   
6.
*
 

 

 

 
   
7.
*
Ex: Held a fundraiser; wrote letters to lonely senior citizens, delivered meals to seniors in Chelsea
 
   
8.
*
Please provide the date(s).
 
   
9.
*
 
   
10.
*
 
   
11.
 

    
   
 
 
 
 Done  Cancel   


Community Service Center contact information:
Old Westbury Campus:  Phone: 516.686.4025/ Fax:516.686.7508
Manhattan Campus: Phone: 212.261.1690/ Fax: 212.261.1758

www.nyit.edu/csc