Hartland High School 13/14 Service Learning/community Service Record printable pdf download

Hartland High School 13/14 Service Learning/community Service Record

HARTLAND HIGH SCHOOL

13/14 SERVICE LEARNING/COMMUNITY SERVICE RECORD

(Helping relatives or fund raisers for extracurricular activities will not count. )

Name:

Date:

YOG:

Teacher and class hour: _______________________________ for Month of: _____________________

Date work completed: __________________________Total hours worked: ______________________

****Each question must be filled out with complete sentences and complete thoughts. If this is not done,

full credit will not be given. ***

Briefly describe the work that you did and why you feel that this should count as community service.

Write two or three sentences.

Who was your contact person or supervisor?

Who benefited from the work you did and how?

What did you gain from this project? Explain with more than just one sentence please.

Why did you decide to do this project?

Would you do something similar to this again?

YES

Explain:

Signature, Phone # & Date are required for verification:

Phone # __________________________

(The person who will vouch for the accuracy of above

information, including dates and time.)

Date: ___________________________

**Due to Career Center NO LATER than May 1st by student or teacher.

See backside for description of Service Learning or Volunteering

13/14 form

Hartland High School 13/14 Service Learning/community Service Record