School Community Service Log Template

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KENSTON HIGH SCHOOL
COMMUNITY SERVICE PROGRAM
SERVICE FORM
Name:
Class of
Service Area:
(Place, location, organization, etc.)
Supervisor Signature:
Activity Supervisor Contact info:
Phone ___________________________ Email __________________________________________
TIME CHART
[Note: Activity Supervisor must initial hours as they are completed]
Date
Activity
Time
Time
Initials
In
Out
TOTAL HOURS:
Make sure to fill out this form completely before turning it in to the Guidance Department.
Forms submitted without a supervisor’s signature will not be accepted for credit.

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