Community Service Form

Community Service Form

 

 

 

SCHOOL:                      __________________________________________________

             

 

STUDENT NAME:           __________________________________________________

 

 

GRADE LEVEL (circle One):                              12               11               10      

 

 

COMMUNITY SERVICE ACTIVITY:

 

Organization                                                     Hours Served     Approval Signature/Phone Number

 

______________________________________         ______________          ______________________________

 

______________________________________         ______________          ______________________________

 

______________________________________         ______________          ______________________________

 

 

 

TOTAL HOURS SERVED: __________________________________________________

 

 

APPROVED BY:             __________________________________________________ 

 

 

DATE:                            __________________________________________________ 

 

 

Guidelines

  • Community service hours must be performed in your local community
  • Family members cannot sign community service forms
  • CTC/AVTS students cannot submit the same hours to both their CTC/AVTS and their sending school

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