CHP Community Service Pre-approval Form

This form serves honors students who would like confirmation that their community service experience meets the service guidelines of the Chancellor's Honors Program.

Please complete the fields below. We will contact you in no more than 5 business days.

If you experience any problems with the form or if you have any questions, please contact honorsga1@utk.edu.

Name*
First Last
UTK Email*
I affirm that I have reviewed the CHP's definition of community service on the CHP Canvas site.*
- Yes
- No
Name of Organization/Program Providing Service*
Location of Service

(City, State)
Structure of Organization
- Non-profit organization
- Community agency/organization
- School/Educational Organization
- Religious Institution
- University Student Club
- Community Event
- For-profit business
Supervisor/Coordinator's Name
First Last
Supervisor's Contact Information
Phone / Email
Description of Service to be Performed*
Please detail the service you will be performing and explain how this service will help a community in need.

What will you be doing?
Who benefits from the service?
What local, national, or international issue are they working to solve?
d. Why do you think this is an important cause to support? Why do you care about this issue?

Refer to the discussion of community service on the CHP Canvas site if needed.

The University of Tennessee, Knoxville

Honors & Scholars Programs
Division of Student Success