The code block below illustrates how one might use # and // as comments in your logic and calculations.

This value you provided is not a number. Please try again.

This value you provided is not an integer. Please try again.

The value entered is not a valid Vanderbilt Medical Record Number (i.e. 4- to 9-digit number, excluding leading zeros). Please try again.

The value you provided must be within the suggested range

The value you provided is outside the suggested range

This value is admissible, but you may wish to double check it.

The value entered must be a time value in the following format HH:MM within the range 00:00-23:59 (e.g., 04:32 or 23:19).

This field must be a 5 or 9 digit U.S. ZIP Code (like 94043). Please re-enter it now.

This field must be a 10 digit U.S. phone number (like 415 555 1212). Please re-enter it now.

This field must be a valid email address (like joe@user.com). Please re-enter it now.

The value you provided could not be validated because it does not follow the expected format. Please try again.

Required format:

Community Service Hours

Community Service Hour Criteria

The Office of Public Health Practice and Community Engagement defines community service hours as hours spent working collaboratively with and through groups of people affiliated with local nonprofit, independent, and community-based organizations focused on improving the quality of life for community residents. Specifically for public health faculty, staff, and students, in line with the School of Public Health’s mission, service hours focus on advancing the public’s health and addressing issues affecting the well-being of the state of Louisiana. Our combined efforts serve as catalysts for improving the public’s health, public health programs, and public health practice.

Students who complete 50 hours or more during the academic calendar are eligible for the Service Honor Cord. The students who met the hour eligibility requirements will receive a single gold honor cord and the student with the most hours will receive a double purple and gold honor cord. Students must log all volunteer hours in order to be eligible.

The award is to open to all MPH, MD/MPH, MS, and PhD students.

***Practice Experience, IPSA, SOAR, student worker, and paid service hours are not eligible for community service hours.***

Please complete the survey below.

Thank you!

Choose One

* must provide value

Name (Last, First)

* must provide value

LSUHSC E-mail

* must provide value

Degree

* must provide value

Department

* must provide value

Outreach Category

* must provide value

Service Provided

* must provide value

Name of host program or organization
(Louisiana Cancer Prevention and Control Program, Tobacco Control Initiative, CrescentCare etc)

* must provide value

Interprofessional

* must provide value

Yes

reset

Were LSUHSC School of Public Health resources used?

* must provide value

Yes

reset

Is this service part of a result grant funding?

* must provide value

Yes

reset

Service project or event name

* must provide value

Project coordinator

* must provide value

Are other organizations/partners collaborating on this event?

* must provide value

Yes

reset

List organizations/partners collaborating on this event

* must provide value

Expand

Describe the tasks you were working on for this project.

* must provide value

Approximate number of LSUHSC students or residents who will participate

* must provide value

Approximate number of community members/patients served

* must provide value

Is this a recurring event?

* must provide value

Yes

reset

Start Date

* must provide value

Y-M-D

End Date

* must provide value

Y-M-D

Total Time

* must provide value

Upload any photos from the events (#1)

Upload file

Upload any photos from the events (#2)

Upload file

Upload any photos from the events (#3)

Upload file

Upload any photos from the events (#4)

Upload file

Upload any photos from the events (#5)

Upload file

Upload any photos from the events (#6)

Upload file

You have selected an option that triggers this survey to end right now.

To save your responses and end the survey, click the 'End Survey' button below. If you have selected the wrong option by accident and/or wish to return to the survey, click the 'Return and Edit Response' button.