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CHS Beta Club Service Hours 2021-22 (and past years)
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* Indicates required question
Email
*
Your email
Your first name
*
Your answer
Your Last name
*
Your answer
Type of Service Hour
*
monetary donation
time/hours
donation of items
other
Required
Give a brief description of the type of service you're reporting
*
Your answer
For which month are you reporting service hours?
*
January
February
March
April
May
June
July
August
September
October
November
December
Required
How many service hours do you wish to report at this time?
*
1
2
3
Other:
If you have more than 3 service hours to report for this project, please indicate how many hours:
Your answer
Contact Name of person/charity/club/parent/teacher who can verify your participation
*
Your answer
Contact phone number or email of person/charity/club/parent/teacher who can verify your participation
*
Your answer
What grade are you in?
*
9
10
11
12
Add any questions or comments you have for CHS Beta Club
Your answer
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