IDENTIFY A SOCIAL PROBLEM - I have indicated with an "X" the social problem I plan to address (see reverse side for a description of possible social problems to address). Service to Youth ( Early Childhood ages birth to 12 years, At Risk Youth ages 13 to 18) Quality of Life Service to Senior Citizens Health/Safety Special Needs (developmentally disabled and/or physically disabled Environment and/or Historical Preservation Arts/Culture Other (You may choose to address a social problem other than those above. Describe your choice on below line) ___________________________________________________________________________________________ II. WRITTEN PLAN FOR PERSONAL INVOLVEMENT WITH THIS SOCIAL PROBLEM: (50 words or less)
III. MY EVALUATION AND REFLECTION OF THE EXPERIENCE: (100 words or less)