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Student Life Community Service Activity Form

  • Date Format: MM slash DD slash YYYY
  • NameStudent ID #Date(s) ParticpatedHours Participated 

Diversity Statement: As an academic institution, Brookdale facilitates the free exchange of ideas, upholds the virtues of civil discourse, and honors diverse perspectives informed by credible sources. Our College values all students and strives for inclusion and safety regardless of a student’s disability, age, sex, gender identity, sexual orientation, race, ethnicity, country of origin, immigration status, religious affiliation, political orientation, socioeconomic standing, and veteran status.