CSN Promise Scholarship Community Service Form


Please enter the information below and print a copy of the confirmation screen for your records. Students must enter their assigned Promise ID number to ensure that the community service hours are counted. If the information provided is incorrect and cannot be matched with the student’s name, the hours will not be counted.

Reminder: As an applicant, your current high school student number is your Promise Identification number.

For questions regarding your Promise ID number, please contact the CSN Nevada Promise Team at 702.651.7500 or email Promise.

Promise Applicant Information
Service Hours Log
Organization
Site Contact

Name of contact person:

Event Details
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Acknowledgement and Verification of Community Service

I acknowledge that the Nevada Promise Scholarship requires community service to be performed according to the guidelines as stated on the www.csn.edu/promise/community-service webpage.

I hereby certify that I personally performed the hours reported and that the information provided here is true and accurate. I acknowledge that I am required to keep a copy of the confirmation of verification that will be issued once I submit this form, and that I am required to keep any documentation associated with the service hours, including, but not limited to, forms provided by the community organization I served.

I also acknowledge that I may be required by the CSN Promise Team to present documentation to verify the service hours and that failure to produce such documentation may disqualify me from receiving the Nevada Promise Scholarship.

Having read and understood this certification, I submit this CSN Promise Scholarship Community Service Form electronically by clicking the submit button below.