A6 Service Directory 20-21 Submissions

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Hey Mochi Moon Jellyfish!

Please fill out this form prior to releasing any service activity so that it can be added to the A6 Service Directory!

Thank you!
If you have any questions or concerns, please contact Charlene Nguyen, Area 6 Service Coordinator.

Email *

School: *

Milpitas High

Independence High

Mount Pleasant High

Piedmont Hills High

KIPP San Jose Collegiate

Summit Tahoma High

Sierramont Middle

Rancho Middle

Russell Middle

Piedmont Middle

Service Activity Name: *

Date (MM/DD/YY @ [time]) // include time and end-date if applicable: *

Service Activity Description (short): *

Officer in Charge (first & last name): *

Officer Facebook Link: *

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