Community Service Hours--Individual 

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

* 1. What is your first name?

* 2. What is your Last name?

* 3. Status

* 4. Place of Service

* 5. Brief description of work.

* 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)

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

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