Community Service/volunteer Hours Form

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Community Service/Volunteer Hours Form
Total
Supervisor
Date
Activity
Organization
Hrs.
(Please Print)
Supervisor Email & Phone #
Supervisor Signature
It is the student's responsibility to maintain and return the verification of community/volunteer service hours.
Sample Volunteer Service
Please submit this form to guidance counselor at the end of each school year. Please total your hours.
Police Dept./Courthouse/Museums
Hospitals/Library/Sr. Centers
I verify that this log is a true and accurate record of my unpaid community or volunteer service.
Recreation Depts./School District
Scouting groups/Other non-profits
Student's Signature _____________________________________
Date Submitted ____________
Civic events always need volunteers

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