St. Jude Service Hour Submission Form
 

Service Hour Reporting Form: 2011-2012

 
Use this form to record your family's service hours. After entering all data, be sure to print and click the link at the bottom of the page. If you forget to click the link, your hours will not be recorded. You should see a confirmation page once the process is complete. You may go back and add as many additional entries as you would like. All entries are subject to verification by service hour coordinators and the school administration. You will be asked to sign off on a compiled list of your family's total hours. For more than 3 entries, please submit a new form.
NOTE: Reports for trimester two have already been collected. Hours reported as of 2/25/2011 will be displayed on the 2nd trimester report.

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Please indicate the grade level of the oldest child in the family. Enter the student's name in the comment field:

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ENTRY #1) Please give the WORKER'S name in the text box. Indicate the worker's relationship to the OLDEST STUDENT.

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DATE the hours were worked.

 MM DD YYYY 
Date:
/
/
 

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Number of hours worked by this person (nearest 1/2 hour).

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Please describe the event and rough details of the worker's role/responsibility.

ENTRY #2) Please give the WORKER'S name in the text box. Indicate the worker's relationship to the OLDEST STUDENT.

DATE the hours were worked.

 MM DD YYYY 
Date:
/
/
 

Number of hours worked by this person (nearest 1/2 hour).

Please describe the event and rough details of the worker's role/responsibility.

ENTRY #3) Please give the WORKER'S name in the text box. Indicate the worker's relationship to the OLDEST STUDENT.

DATE the hours were worked.

 MM DD YYYY 
Date:
/
/
 

Number of hours worked by this person (nearest 1/2 hour).

Please describe the event and rough details of the worker's role/responsibility.