Student Community Service Hour                     Submission Form
Please submit your community service hours by answering the questions below.
Remember, you are responsible for 70 volunteer hours during your four years of high school, including summers. HALF of these hours MUST be completed off campus.
 Volunteer hours must be satisfied by May 1st of your graduation year.
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Student First Name *
Student Last Name *
What year will you graduate? *
Date you volunteered *
MM
/
DD
/
YYYY
Total time volunteered (round to nearest quarter of house) *
Where did you volunteer? *
Describe your volunteer work. *
Volunteer Approval/Contact. Please include NAME and PHONE NUMBER for individual who can approve your volunteer time. *
Additional questions or comments.
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