Community Service Hours Log

Community Service Hours Log

Please complete the fields below to confirm your community service hours. You need a total of 25 hours each school year per our graduation requirements. You do not have to complete all of your hours in one place, so feel free to use this form at each site you serve. Don't forget to keep up with your hours!
Student Name:
Location of Service:
Date(s) of Service:
Number of Hours Worked:
Description of Service Project:
Supervisor Name:
Supervisor Title:
Supervisor Email Address:
Supervisor Phone Number:
Supervisor Signature

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If requested, provide notes here for work completed:
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