Service Hour Tracking

Service Hour Tracking

Students will use this form to log their service hours.
Student Name*

First NameLast Name
Student School Email Address*
example@example.com
Current Grade Level*
Organization Information

Please enter the contact information for the organization Point of Contact (PoC). The PoC cannot be your parent. We will need this information to verify your service hours. Service hours cannot be logged without this information.
Organization Name*
Point of Contact Name (Not a Parent)*

First NameLast Name
Contact Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Contact Email Address
example@example.com
Service Activity Information
Service Activity (describe your service work)*
Hours Logged (include dates and number of hours). Contact person may be asked to verify this information.*
Verification*
Should be Empty: