Columbus State University by ne2ygHvN

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									                                                                                                                                                 Office Use Only:
                                                                                                                                                 Approved: ___________________
                                                              Columbus State University                                                          Date: _______________________
                                                             Servant Leadership Program
                                                            2012-2013 Sophomore Contract

Name: ____________________________________________________________________________________________                             Student ID#: ____________________________

This contract is due to the Servant Leadership Office no later than 5:00 p.m. on Friday, September 7, 2012. If we do not receive a contract from you, the staff will fill one
out on your behalf and you will be held to that contract for the semester. If you have any questions, contact one of the Servant Leadership staff members.



As a recipient of the CSU Servant Leadership Stipend, you are expected to complete specific components of the program to remain in good standing, including engaging in an
average of six hours a week of community service (for 13 weeks/semester) for a total of 78 hours, enrolling in an academic class each semester, and maintaining a minimum
cumulative G.P.A. of 3.0. Please fill out the information below to serve as your contract for how you will fulfill these requirements for the fall and spring semester, 2012-2013.

Fall Semester 2012
Hours                       Activity                                                                                       Primary Contact Name and Phone Number
40 Agency                   Agency:
34 Flexible



4 Reflections
78 HOURS                    TOTAL

Spring Semester 2013
Hours                       Activity                                                                                       Primary Contact Name and Phone Number
40 Agency                   Agency:
30 Flexible



4 Corporate Dialogue        Corporate Partner:
4 Reflections
78 HOURS                    TOTAL


Signature: ______________________________________________________________ Date: _________________________________________

								
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