Grady High School Community Service Log

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STUDENT FORM
USE A SEPARATE SHEET FOR EACH DIFFERENT AGENCY
Grady High School Community Service Log
NAME ___________________________________________ HOMEROOM ______________
AGENCY ________________________________________
Address ____________________________________
____________________________________
Supervisor(s)_____________________________________ phone ___________________
_____________________________________ phone ___________________
Date
Hours
Volunteer Activity
Supervisor’s Signature
1
2
3
4
5
6
7
8
9
10
List and describe FOUR duties you performed or new skills you learned while volunteering.
1. ____________________________________________________________________
2. ____________________________________________________________________
3. ____________________________________________________________________
4. ____________________________________________________________________
Describe your experience.
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________

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