Berg Service Challenge Commitment Form

This should be the name of the service-site you will be working at or the name of the agency that you are serving for.

I am making the commitment to serve 10 hours Spring 2012 semester and I will contact the organization to work out the details.

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Type the characters you see in the picture above; if you can't read them, submit the form and a new image will be generated. Not case sensitive.

Siobhan Ryan