ZSMS

1Contact

2Service Reporting

3Demographics

4Additional Information

Contact Information

Name*

First Last

Email*

Region*

State / Country*

Chapter Name*

Chapter Size*

City Served*

Chapter Basileus Name*

Chapter Basileus Email*

Population*

Gender – Total Number in Attendance*

Age Groups*

Zeta Affiliation*

Total Amount Donated*

Total Cost of Activity*

Total Number of Items Donated*

What was donated ?*

Total Hours Served in HOURS (include Pre & Post Event Time)*

Available Media

You may submit up to two files from this activity. The total file upload size must be less than 3MB. NO EXCEPTIONS! Please give each file a unique name: Ex: Alpha-Zeta-MLK-Jan2017.jpg Preferred file format: JPG Other files accepted: png, gif, pdf Video Link If available, you may also include a link to your service activity video.

Photo / Form Available*

Yes

File*

Drop files here or

Max. file size: 50 MB.

Video Available*

Yes

Video Link*

Yes, I Agree

Contact Information

Available Media

Zeta Phi Beta Sorority, Incorporated

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