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  • Student Community Service Record

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    mjysong
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    This document is a record of community service for a student. It includes fields for the student's name and grade, contact information for the organization served including address, phone number, and contact person, a description of the duties performed, the number of hours served, and signatures from the student and parent/guardian to verify the service was completed.

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    Original Title

    Record of Community Service

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    This document is a record of community service for a student. It includes fields for the student's name and grade, contact information for the organization served including address, phone number, and contact person, a description of the duties performed, the number of hours served, and signatures from the student and parent/guardian to verify the service was completed.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    6 views1 page

    Student Community Service Record

    Uploaded by

    mjysong
    This document is a record of community service for a student. It includes fields for the student's name and grade, contact information for the organization served including address, phone number, and contact person, a description of the duties performed, the number of hours served, and signatures from the student and parent/guardian to verify the service was completed.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    Record of Community Service

    Name of Student:
    Grade:
    LOCATION ADDRESS/TELEPHONE/CONTACT PERSON & DUTIES
    Organization/Sponsor:
    Address:

    Telephone:
    Contact Name: (please print)
    Contact Signature:
    Duties Performed:

    Number of Hours:

    VERIFICATION SIGNATURES
    Student

    Date Completed

    Date Submitted
    (Office Use Only)

    Parent/Guardian

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