NJIT Community Service Reporting System

Please include service to the community initiatives on behalf of NJIT.

For Faculty / Staff

First Name:
Last Name:
Department Name:
Phone Number:
Email Address:
Community Service Program Title:
Funding Source:
Funding Amount: $
Project Duration:  
              Start Date:    Month:   Year:

              End Date:      Month:   Year:

Program / Service Participants: Name Title Department
Service Program Details:
(Include goals / objectives activities and / or events)
 

(Not to exceed 1000 characters)

Outcomes:
(Describe who benefitted from the program / service and what was achieved)
 

(Not to exceed 1000 characters)