Pay it Forward COURSE Report

Campus Name*
Semester*
Course Name*
Instructor Name*
First Last
Number of Students in Course*
Total Volunteer Hours*
Total Number of Organizations Requesting Funding*
Total Number Organizations Received Funding*
Funded Organization #1 Name*
Amount Awarded*
Description of Intended Use of Funds*
Contact Person (Name, Email and Phone)*
Funded Organization #2 Name
Amount Awarded
Description of Intended Use of Funds
Contact Person (Name, Email and Phone)
Funded Organization #3 Name
Amount Awarded
Description of Intended Use of Funds
Contact Person (Name, Email and Phone)
Funded Organization #4 Name
Amount Awarded
Description of Intended Use of Funds
Contact Person (Name, Email and Phone)