Student Community Service Survey
Please complete this survey every time you complete service hours throughout the 2021-2022 school year.  Hours completed in the summer of 2021 count towards the 2021-2022 school year.  Recommended hours: Kindergarten- 2nd grade students 10 hours, 3rd-5th grade 15 hours, 6th-8th grade students 20 hours. Thank you for taking action to make our local and global community stronger.
Sign in to Google to save your progress. Learn more
First name *
Last name *
Grade Level
Clear selection
Please describe in one or two sentences where and how you completed these hours. *
Time completed in hours (ex. 1 hour) *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Yucaipa-Calimesa Joint Unified School District. Report Abuse