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2019-2020 Service Hours Form
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* Indicates required question
Email
*
Your email
Student Name (First and Last)
*
Your answer
Grade
*
Choose
7th Grade (22 hours)
8th Grade (24 hours)
9th Grade (26 hours)
10th Grade (28 hours)
11th Grade (30 hours)
12th Grade (55 hours)
Name of Organization
*
Your answer
Supervisor's Name
*
Your answer
Supervisor's Contact Information (phone/email)
*
Your answer
Date of Community Service
*
MM
/
DD
/
YYYY
Describe Project
*
Your answer
How many total hours did you work?
*
Your answer
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