Free community service form 16
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MELROSE HIGH SCHOOL
COMMUNITY SERVICE REPORT FORM

Name of Student:

Year of Graduation

THIS SECTION IS TO BE COMPLETED BY THE SUPERVISOR OF COMMUNITY SERVICE:
Supervisor
Name

Signature

Phone:

Name of Organization:
Date(s) of Service:
Total Number of Hours:
Description of Activity:

Comments, Suggestions of Supervisor:

***** IMPORTANT NOTE FOR SENIORS *****
Your Community Service requirement MUST be fulfilled prior to April 1, 2020.




The Community Service requirement consists of an average of 12 hours of service for each school year,
for a total of 48 hours to be completed as a graduation requirement.
Community service is voluntary, unpaid work that helps people. Community service is not the same as an
internship, job shadow, or a paid job that you are currently not being paid for.
Students should check with their assistant principal to ensure their hours will be acceptable, prior to
starting a project.
Students are encouraged to create a Community Service project of the