WHS Community Service Hours
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Student Information
Student Last Name *
Student First Name *
Current Grade Level *
YEAR OF GRADUATION *
Service Project Information
Location/Organization where service took place *
Name of Service Project Supervisor *
Supervisor Contact Email or Phone Number *
Number of Hours of Service Provided *
Date of Service Project *
MM
/
DD
/
YYYY
Describe the service you provided *
Describe how your volunteer work helped others or the community *
I understand that this response may be viewed by other students *
Required
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