COMMUNITY SERVICE TRACKING FORM Have you already completed your community Service Hours: YES  NO  . Student Name: _______________________________________________YOG: _________ Student ID Number: _______________________ Project Location: __________________________________________________________________________________________________________ Project Description: _______________________________________________________________________________________________________ _______________________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________________ Start Date: ____________________________________ ____________________________________________________

__________________________________________________________________

Parent Signature

Guidance Counselor Signature

_______________________________________________

__________________________________________________

Student Signature

Date



The following needs to be completed AFTER the community service experience by the Site Liaison. I verify that the above student has completed this community service: HOURS (total #):__________________________

End Date: _____________________________

______________________________________________________________________________________________________________________________________________

_______________________________________________________________________________________________________________________________________________________________________________________________________

Site Liaison Signature

Site Liaison Phone Number

1. Choose a site and project. If you need suggestions, please see your Guidance Counselor or Brittany Hanna, Guidance and Career Counselor ([email protected]). 2. Read the Community Service Information on the Natick High School website: http://naticknhs.ss11.sharpschool.com/cms/One.aspx?portalId=121475&pageId=575543 3. Upon completing your community service experience, the Site Liaison (supervisor) will sign off on the number of hours you have completed during the corresponding dates. 4. Bring the form to the Guidance Department for your Guidance Counselor’s signature and put the completed form into the community service form box. Do not wait until all hours have been completed to submit these forms. (ONCE YOU HAVE COMPLETED 30 HOURS – PLEASE CHECK THE BOX) 5. Some students will get 30 hours from one project, while others will volunteer at several organizations until at least 30 hours are met. Many students earn considerably more than the 30 hour requirement. PLEASE KEEP A COPY FOR YOUR RECORDS

Community Service Tracking Form 10-2-17.pdf

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