Community Service HA log 2023-24
For all community service events, DOCUMENT hours online.

1. If event is a standard, scheduled event with CVHS Health Academy, student will register for the event with Event Brite.

2. Student will DOCUMENT all community service hours on Google forms.

3. For signed forms, students will hand deliver a copy, scan / take picture of form and retain for your records

4. Community service status and year-to-date hours will be made available on CVHS website on "Calendar & Trips" tab.
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Email *
HA student last name *
HA student first name *
Graduation year (2024, 2025, 2026) *
Class status *
Community Service event - CHOOSE 1 *
Required
Date of event *
MM
/
DD
/
YYYY
Total hours worked (list a number only) *
Time of event *
Time
:
Comments / Notes
Name of event supervisor *
Event Supervisor phone or email *
A copy of your responses will be emailed to the address you provided.
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