Tn/va Scholars Volunteer Service Hours Log

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TN/VA Scholars Volunteer Service Hours
Each student is required to complete a minimum
80 hours
of Volunteer Service over the four years
they attend high school.
*
All hours must be completed and this form submitted to your school
counselor
no later than
January 15 of your Senior year. Qualified hours may not include required
activities nor may they receive a grade or pay.
*
Failure to adhear to this policy will automatically disqualify you from the program.
Visit for a list of suggested service opportunities.
Date
Location
Hours
Signature of Supervisor
I certify that the information listed above to be accurate. I understand my Volunteer service hours must be completed prior
to and this form submitted no later than January 15 of my senior year.
Student Signature: ______________________________________________________

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