Bridge Builders,

We know you’re actively involved in giving back to your community, and we want to honor that involvement. Please fill out the form below to receive your Community Action credit.

Criteria to keep in mind:

  • Service should be for a minimum of 1.5 hours, either all at once or through demonstrated regular intervals
  • Service should be interactive in some way
  • Service can include something you are doing through an honor society, youth group, or other civic organization
    • It does not include something you are being forced to do as part of a punishment
    • It does not include any household chores that you are completing

Past examples that students have received credit for:

  • Cooking / serving at a soup kitchen
  • Organizing a food pantry
  • Making holiday cards with nursing home residents
  • Volunteering at a food bank
  • Working in a community garden
  • Helping in a school clean up

Past examples that students have NOT received credit for:

  • Dropping off donations at Goodwill / Salvation Army
  • Serving food at a church event
  • Babysitting
  • Household chores

IMPORTANT NOTE: Completing this form does not guarantee you will receive credit. All forms will be reviewed on a case-by-case basis by the Bridge Builders COLLABORATE Leadership Council. You may be asked for additional information regarding your form. All students will be notified within 2 weeks of submitting forms about their credit.



Current grade:
School currently attending:


Location of community action(service)

Date of community action (service)

Duration of time at event. Put number of hour(s) and mins

Contact Person Information


Describe the service you provided.

Describe how this service was impactful for your community.

Describe how this service was impactful for you.

*IMPORTANT NOTE: Completing this form does not guarantee you will receive credit. All forms will be reviewed on a case-by-case basis by the Bridge Builders COLLABORATE Leadership Council. You may be asked for additional information regarding your form. All students will be notified within 2 weeks of submitting forms about their credit.

Electronic signature (Type your name to sign this form.)

After clicking the submit button, scroll back to the top of the page for the community action form submission confirmation.