E.C.H.S. Community Service Record Student’s Name

Grade

Sponsoring Organization Date

Activity

Supervisor’s Name

(Please print)

Description

Total Time Spent

Contact #

Supervisor’s Signature______________________________________ *Prior approval must be obtained if a parent is signing as supervisor. *Use one form per service activity performed.

E.C.H.S. Community Service Record Student’s Name

Grade

Sponsoring Organization Date

Activity

Supervisor’s Name

Description

Total Time Spent

Contact # (Please print)

Supervisor’s Signature______________________________________ *Prior approval must be obtained if a parent is signing as supervisor. *Use one form per service activity performed.

ECHS - Community Service Record Form.pdf

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