Are You suprised



Community Service hours

Student Number:

Year of Graduation:

Student Name:

Total Hours:

Date(s) service completed:

Volunteer work performing the following tasks:

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Name/Address of Organization: ________________________________________

________________________________________

________________________________________

Supervisor’s Name & Signature: ________________________________________

________________________________________

Title: _____________________________________________________________________

Phone Number: ___________________________________________________________

Date: ____________________________________

-----------------------

[pic]

................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download