2022-23 PPH- Family Service Hours
Please complete this form for the hours you have completed.  All hours should be reported within 1 week of completion for proper credit.  All hours are subject to verification and approval.

**Please note if reporting hours for donations, please be sure to submit original receipts to the office for approval- we will log those hours for you. These receipts should be placed in an envelope with your student's family name and grade with the word "DONATION" please.**
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Email *
Volunteer's Last Name, First Name *
Student(s) Last Name, First Name *
Student's Grade- check all that apply *
Required
Event & Job Description (i.e. Yard Duty- morning recess) *
Date you volunteered *
MM
/
DD
/
YYYY
Event Host (who was in charge of the event?) *
Event Leader (to verify your reported hours. If marking "Other" you must type in the leader's name) *
Arrival & Departure time (ie. 10:00 - 10:40am) *
Time
:
Enter total # of hours worked- Please list in increments of the hour: 15 minutes=.25, 30 minutes = .50, 45 minutes = .75, 1 hour = 1.0 (i.e 1 hour and 15 minutes  is 1.25 *
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