VOLUNTEER SERVICE DOCUMENTATION FORM
[Pages:1]VOLUNTEER SERVICE DOCUMENTATION FORM
Student's Name
High School
Graduation Year
Student ID
Use INK only. Date Type of Service
MM/DD/YY
Where Volunteer Service
Hours Initialed by
Was Done
Completed Supervisor
Total Hours & Initialed by Supervisor*
I attest to the fact that the above named student did accomplish this volunteer service and did not receive payment for the task.
Person in Charge (Print)
Signature of the Adult in Charge
Phone Number
*The person signing this form should be the person supervising the
activity. Do not combine different activities on the same form if they are supervised by different people. Use an additional form.
Students, turn in this form to the counselor. It will be kept on file in the College & Career Counselor's office at in each high school.
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