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Community

This document is a community service hours log for a student. It records the student's name, grade, math teacher, details of the community service activity including their job and impact, as well as dates, hours, supervisor signature and approval from their math teacher.

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22 views

Community

This document is a community service hours log for a student. It records the student's name, grade, math teacher, details of the community service activity including their job and impact, as well as dates, hours, supervisor signature and approval from their math teacher.

Uploaded by

api-267320977
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Community & Service Hours Log

Name: ___________________________________________ Grade:_____ Math Teacher: ____________


My Community and Service activity was: ____________________________________________________
My job was: __________________________________________________________________________
_____________________________________________________________________________________
The best part was:______________________________________________________________________
_____________________________________________________________________________________
____________________________________________________________________________________
The hard part was:______________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
I made an impact on the people I helped in this way:
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
I'm changed because:
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Date(s) of Activity:
Date: _____ Hours: _____

Date: _____ Hours: _____

Date: _____ Hours: _____

Date: _____ Hours: _____

Date: _____ Hours: _____

Date: _____ Hours: _____

Total Hours: _____


Service Organization (if applicable):

Supervisor's Signature:

_______________________________________

_______________________________________

Supervisors Name (Please Print):

Comments:

_______________________________________

_______________________________________

Supervisors Phone #:

Students Signature:

_______________________________________

______________________________________

Supervisors Email or Web Address:

Piedmont Math Teacher Approval:

_______________________________________

_______________________________________

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