Living Skills Community Service Record Sheet

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Student’s Name__________________________
Living Skills Teacher ______________________________
Class Period_____________________________
Living Skills Community Service Record Sheet
To be filled out by the contact person:
Contact Person’s Name____________________________ Phone Number___________________
Name and Address of Organization: ___________________________________________
__________________________________________
Please give a very brief description and evaluation of the work that this volunteer did.
Dates
Hours
Signature of the contact person who verifies the above hours.
Total number of hours__________
Signature ___________________________________

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