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COMMUNITY SERVICE HOURS
This form has been provided for Grand Canyon High School students to apply for approval of community service hours. Please complete the items below thoroughly and accurately. Note that any false or unverifiable information submitted may not be approved and could subject the student to disciplinary action.
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* Indicates required question
Email
*
Your email
Student Last Name
*
Your answer
Student First Name
*
Your answer
Grade
*
9
10
11
12
Date of Activity (If you performed the same service activity with the same supervisor multiple days within a month, you can use the last date of that month.) Example: 08/31/2021
*
MM
/
DD
/
YYYY
Number of Hours (Round to nearest whole or half hour. Example: 2 or 2.5)
*
Your answer
Please describe the activity in which you'd like to receive community service hours.
Your answer
How did this benefit the community?
*
Your answer
What did you learn from this experience?
*
Your answer
NAME, EMAIL, and PHONE of sponsor, supervisor, activity coordinator, etc.
*
Your answer
A copy of your responses will be emailed to the address you provided.
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