COMMUNITY SERVICE LOG
To recognize students who voluntarily donate time to worthwhile efforts in our community, the
Spotsylvania County School Board awards “Community Service” seals on high school diplomas. To
qualify, students must contribute 144 hours of community service during their 4 (four year) high
school career. The student listed below is earning this award and is responsible for keeping track of
such community service. The School Board thanks you for providing a positive activity for its students
and asks that you verify the service listed. The Board also extends its gratitude to you for your
efforts in making our community a better place in which to live.
THIS FORM MUST BE SUBMITTED BY MAY 15
OF EACH SCHOOL YEAR.
NAME OF STUDENT ____________________________ HIGH SCHOOL _______________
Date and Year Submitted ____________________
Class of ___________________