FIRST PRINT THIS FORM, THEN FILL IT OUT AND RETURN IT TO THE ELROD CENTER, BOX 3790.
Name________________________________________________________________
Student I.D. #_______________OBU Box__________OBU Phone_____________
Classification__________________________________________________________
Semester you are registering for__________________________________________
Areas of Interest:
Children Emergency Services
Education Handicapped
Elderly Youth
Other______________________________________________________________Are you already involved in community service? ______yes ______no
If yes, what?_______________________________________________________________
Approximately how many hours a week are you willing to commit?________________
Your Signature_________________________________________________________
Please fill out this card and return it to the Ben M. Elrod Center for Family and Community, OBU Box 3790.