75 Hour Community Service Plan

Bright Futures Scholarship Requirement For Academic Scholar Award

IDENTIFY A SOCIAL PROBLEM - I have indicated with an "X" the social problem I plan to address (see reverse side for a
description of possible social problems to address and a partial listing opportunities for involvement).

_____ Service to Youth _____ Other (You may choose to address a social problem other than those outlined on the
reverse side. Describe your choice in this space.)
_____Quality of Life
_____Service to Senior Citizens
_____Health/Safety
_____Developmentally disabled and/or Physically Disabled
_____Environment and/or Historical Preservation
_____Arts/Culture

II. WRITTEN PLAN FOR PERSONAL INVOLVEMENT WITH THIS SOCIAL PROBLEM: (50 words or less)

III. MY EVALUATION AND REFLECTION OF THE EXPERIENCE: (100 words or less)

Parent's Signature ____________________________________________________ Date _____________________

Student' Signature ____________________________________________________ Date _____________________
Principal's/Designee's Signature _________________________________________ Date _____________________