Free community service form 27
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Community Service Form 2019-20
(Winston-Salem/Forsyth County)

Deadlines: Grades 11-12: January 31, 2020
Grades 9-10: March 11, 2020
Grades 6-8:
April 8, 2020
Please make a copy or take a picture of this form for your records before you submit it. To fulfill your community service
requirement, you must upload this form to your Crosby Scholars Student Portal, mail, fax, or e-mail it to the Crosby Scholars office, or submit it
to your counseling office as soon as you complete your community service project, but no later than the deadline listed above for your grade
level. One week after you submit your form, log in to your Crosby Scholars Student Portal to confirm you received credit. Please allow more
time if you submitted your form at school. Students, complete all three steps before submitting this form!

Step One: Please print your information neatly, and do not leave any information blank.
Student’s name:


Student ID#:

Email address/Telephone #:

Date volunteered:

Total h