High School Graduation Year
Community Service Survey
Student Name Phone Number
Address
Location or Type of Service Preference - Indicate Choice (1,2,3)
City Events and/or Parades
City Hall Assistance
Festival of the Lakes (July 17-21, 2024)
Must be available all days
Jean Shepherd Community Center
Little League Games (No Travel Teams)
Lost Marsh Golf Course
Marina/Wolf Lake Pavilion/Splash Pad
Sanitary District
(Engineering or Science Majors)
Hammond Sportsplex
Beatlesfes
t (August 6-11, 2024)
Hammond Public Library Assistance
School Assistance/Tutoring- permission
from teacher/school must be obtained
1) Please indicate three choices for community service assignment:
Please Note: Preferences for Community Service cannot be guaranteed and will be assigned on a rst come basis.
All College Bound Scholarship recipients are required to complete 40 hours of community service each year that
scholarship funds are received.
2) Please indicate two choices for when you will be available to perform community service:
Month Preference - Indicate Choice (1,2)
Winter Break (late December-early January)
Spring Break (March, April)
May
June
July
August
September-December
Community Service Hours Deadline: Returning College Students
August 31, 2024
2024 High School Graduates
December 31, 2024
3) Are there any medical or physical limitations that may limit your ability in performing certain community service assignments? YES or NO
If yes, please explain:
4) All students performing community service must wear a College Bound T-Shirt to identify you as a College Bound Scholar. If you have
a T-shirt from previous summers, please re-use. If you do not have a T-Shirt they are available at the College Bound Oce.
5) Failure to perform community service automatically drops you from consideration for renewal and will require you to pay back
College Bound funds previously received. Community service hours must be approved/assigned by the College Bound
Coordinator. Failure to have prior approval will result in hours not being counted.
6) The deadline to reapply for the College Bound Scholarship for the 2024-2025 school year is Wednesday, July 3, 2024. Applications are
available online at www.gohammond.com and click on the College Bound tab or in the College Bound Oce.
Late applications will not be accepted under any circumstances.
Please return this form immediately to: College Bound Scholarship Program
Attn: Sharon M. Daniels, Coordinator
5925 Calumet Avenue Room 115
Hammond, IN 46320
