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Youth Community Service Record
This form documents your service to the community through the Jr. FLL program run by Stamford Robotics the Stamford Public Education Foundation. Please fill in this form so that we may provide an accurate and complete record of your service!
First Name:
*
Last Name:
*
Email Address:
*
We'll need an email address where we can contact you.
Phone Number:
*
Please provide a phone number in case we need to confirm details about your service for the letter.
Grade:
*
What grade are you in?
School:
*
What school do you currently attend?
Organization You Represented:
Tell us which organization(s) you represented as part of you volunteer effort such as "Build On", "NHS", "Stamford Robotics", etc.
Hours Per Activity
Enter the approximate number of hours for each Jr. FLL volunteer activity below.
Jr. Mentor for Team(s):
hours
Time spent acting as a junior mentor for team(s)
Expo Day Volunteer:
hours
Time spent the day of the Expo helping to execute all aspects of the Expo (activity, setup, cleanup, etc.)
Expo Preparation Day:
hours
Attended the Expo preparation day the day before the Expo to help prepare materials for the Expo
Planned Student Activity:
hours
Planned "SMART Move Around the World" Activity
Built LEGO Trophies:
hours
Helped design and/or build LEGO trophies for JR.FLL expo Jan 2010
Expo Reviewer:
hours
Acted as an Expo team reviewer at the Expo.
Planned Attorney General Breakfast:
hours
Helped plan for the Attorney General breakfast with the volunteers.
Coaches Meetings at Gov Center:
hours
Bi-weekly coaches meetings at the Government Center in Stamford Oct 2009 – Jan 2010
Expo T-Shirt:
hours
Helped design/order Expo T-Shirt
Expo Day Powerpoint:
hours
Helped create Power Point for continuous display & live updates at the Expo February 2010
Wrote Press Releases:
hours
Helped write Press Releases for media coverage Dec 2009 – Feb 2010
Reviewer at Northeast Mini Expo:
hours
Acted as reviewer at the Northeast Elementary Mini Jr FLL Expo