Nautilus Middle School Community Service Log Sheet Page 2

Community Service Log Sheet

(2011-2012)

Nautilus Middle School

Keep track of your hours by completing the log.

This log and the Community Service Reflection document will be collected by your

Humanities (Social Studies) teacher. It is only a way to keep track of your hours. To

receive proper credit, you must complete the official Community Service Reflection

form.

Name/ID:___________________________________________________________

Grade/Social Studies Teacher:___________________________________________

Date

Hours

Activity/Event/Supervising signature

Completed

10.

Students: Rate your performance: Check the appropriate box.

Performance Factor

Excellent Satisfactory

Needs

comments

Improvement

I was punctual.

I completed my work on time.

I was reliable.

I assumed responsibility.

I used my time effectively.

I listened to and encouraged others.

I followed directions.

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Parent category: Miscellaneous