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January NHS Community Hours
Please complete the following form in completion to record hours for the month of January - Form is Due no later than 2/15/2025.
Remember a total of 4 hours per month; 2 may be assisting family, friends, or teachers!
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Email
*
Your email
NHS Member - Full Name
*
Your answer
Did you have tutoring hours for the month of January? If yes answer all tutoring questions! If no skip to service hours.
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Yes
No
Tutoring: Who did and When did you tutor? Include information for all students if you tutored multiple.
Your answer
Tutoring: What subjects did you tutor AND how long (hours) did you tutor? Include information for all...
Your answer
Did you have service hours for the Month of January? Please answer all questions that apply if you answer yes.
*
Yes
No
Date of Service Hours - List all that apply
Your answer
Location or Event of service hours - List all that apply
Your answer
Number of Service Hours - List all that apply
Your answer
Description of Services - List all that apply to each event
Your answer
Contact of Person in charge or organizing service opportunity (Please provide NAME AND EMAIL OR PHONE #) - List all that apply to each event
Your answer
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