Service Hours Form

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  • April 2020
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DOCUMENTATON OF SERVICE HOURS Student Name: ___________________ Student Number ____________ Year of Graduation __________ Parent Name: ____________________ Telephone Number __________________ I certify that I have completed at least 75 of community service as listed below. Student Signature: ______________________ Parent signature: _________________ Date: __________ Date(s) of Service

Description of Service

Organization/Agency

Telephone No.

*TURN IN TO GUIDANCE OFFICE*

Hours

Contact Person/Signature

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