CMNH and Community Service Report

This information represents the estimated hours donated to The Children's Miracle Network and other community service projects and the funds raised in the 2019-20 competition year (from June 16, 2019 through April 15, 2020). This form assists our program in tracking preliminary CMNH and community service information at the time of Orientation. To qualify for state, MISS candidates have until May 8, 2020 to satisfy her $250 State CMNH fundraising requirement. There is NO fundraising requirement for TEEN candidates; however, each TEEN is encouraged to set a goal of raising at least $100 in CMNH Funds.

* Indicates required field

Contestant Name - Designate Miss or Teen *

Local Title *

CMNH Service Hours *

CMNH Funds Raised in Competition Year 2019-20 *

Social Impact Initiative Name *

Social Impact Initiative Service Hours *

Funds Raised for Social Impact Initiative Competition Year 2019-20 *

Name of Other Community Service Project *

Service Hours *

Funds Raised *

Name of Other Community Service Project *

Service Hours *

Funds Raised *

Name of Other Community Service Project *

Service Hours *

Funds Raised *

Please add any additional information or projects if necessary *

Submit