Community Service Hours--Individual 

Please complete this form for hours in any service project.  One form for each of your service projects.

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* 1. What is your first name?

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* 2. What is your Last name?

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* 3. Status

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* 4. Place of Service

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* 5. Brief description of work.

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* 6. What was date of service?

Date 

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* 7. How much time (in hours) did you spend in service? (.5, 1.5, 2, 3.75, etc)

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* 8. If applicable, indicate Club, Organization, Sports Team, Class, etc with whom you were performing service.

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