Free community service form 42
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Community Service Form

Student’s Name::

1. Name of
nonprofit:
Dates
worked:
Type of work
performed:
Name of supervising member of organization

Grade:

Hours of Service:

Signature of supervising member of organization

2. Name of
nonprofit:
Dates
worked:
Type of work
performed:
Name of supervising member of organization

Hours of Service:

Signature of supervising member of organization

3. Name of
nonprofit:
Dates
worked:
Type of work
performed:
Name of supervising member of organization

Hours of Service:

Signature of supervising member of organization

4. Name of
nonprofit:
Dates
worked:
Type of work
performed:
Name of supervising member of organization
Signature of supervising member of organization

Hours of Service: