SAMPLE - NOT TO BE FILED SFMC Community Service Individual Report Form 225th Marine Strike Group DedEx Marine Data Name: Collin MacJarhead Rank: Gunnery Sergeant SCC: 000000 DOB: 21MAY83 Report Date: 25JUL07 INSTRUCTIONS: For each reporting period file one report. Include complete data for every eligible project during the period. If you don't know if a project is eligible, assume that it is, we will sort out the reports at DedEx HQ. Do NOT include 225th MSG events/projects. We will make sure that everyone gets appropriate notations for those projects. The 225th needs to report total hours for its report every two months. If you wish to have your data included in the DedEx total please file your reports on the following schedule: Period: Report Due Date: January 26 - March 25 March 25 March 26 - May 25 May 25 May 26 - July 25 July 25 July 26 - September 25 September 25 September 26 - November 25 November 25 November 26 - January 25 January 25 It is imperative that I have time to condense these reports into the report for the MSG. Therefore, any report not received by the due date will not be included. There can be NO EXCEPTIONS. Project Data Project #1: Name: Gift Wrapping Table Benefitting: Champaign County Home for Unwed Mothers Hours: 7 Date(s): 16JUN2007 Please give reasonably detailed description below: We all got together at the venue, Priscilla's, and spent the day gift wrapping the purchases of dozens of local buyers with sweaty hands. We raised $37,824.62 for the charity. Project #2: Name: Dog Walking Benefitting: March of Dimes for Pets Hours: 8 Date(s): 23JUN07 Please give reasonably detailed description below: I helped at this event at Daylite Park where I walked people's pets for $3.00/mile. My 32 miles raised $96 towards the daily total of $985 for the charity. Project #3: Name: Senior Home Visit Benefitting: Golden Years Residential Care Hours: 6 Date(s): 30JUN07 Please give reasonably detailed description below: I went to Golden Years and spent the day visiting with and helping out the elderly residents. I helped the staff change sheets, I spent a few hours calling Bingo for the residents. I also helped Mr. W curry comb his seeing-eye horse. Project #4: Name: Benefitting: Hours: Date(s): Please give reasonably detailed description below: Project #5: Name: Benefitting: Hours: Date(s): Please give reasonably detailed description below: Project #6: Name: Benefitting: Hours: Date(s): Please give reasonably detailed description below: Project #7: Name: Benefitting: Hours: Date(s): Please give reasonably detailed description below: Project #8: Name: Benefitting: Hours: Date(s): Please give reasonably detailed description below: Project #9: Name: Benefitting: Hours: Date(s): Please give reasonably detailed description below: Project #10: Name: Benefitting: Hours: Date(s): Please give reasonably detailed description below: ================================================================ DedEx Form CS101V1 Created 11SEP06