Free community service form 36

WEYMOUTH HIGH SCHOOL
One Wildcat Way
Weymouth, MA 02190

Telephone:
781/337-7500
Gold Fax:
781/340-2569
Maroon Fax: 781/340-2568

WHS Community Service Activity Form
(Please return completed form to Mrs. Duane in the Gold Office in order to receive credit)
Student’s Name:
Date

# Hours

Year of Graduation:
Activity/Organization

Supervisor Signature

Telephone
#

Please be sure your Community Service is on the Pre-Approved List. Students have access to a PreApproval list on the Weymouth High School website. If their community service activity is not already
listed as a pre-approved community service activity on the website, then a Pre-Approval form must be
filled out completely and submitted for approval prior to any hours being recorded. The Pre-Approval
Form is also available on the WHS website.
Community Service is an activity which is:
 Performed for no pay or academic credit
 Completed at a nonprofit agency, organization, hospital or for the benefit of a pre-approved
civic engag