Free community service form 02
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VOLUNTEER COMMUNITY SERVICE DOCUMENTATION FORM

This is to certify that

from
Student Name
, Class of

has performed volunteer service

on Name of School
the date(s) and location(s) listed below.
Name of Organization/Non-Profit/Event:
Address:
Phone Number:

Date of the Event

Time In

Specific Duties/Services Performed:

Supervisor Name (Please Print)
Supervisor Signature
Address (if different from above)

Date:

/

/

Phone Number:

Time Out

Total Hours Per Day