Community Service Hours Form - Bishop Seabury Academy

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Community Service Hours FORM

1. Name
2. Grade
6th 7th 8th 9th 10th 11th 12th
3. Date of Service
4. Number of Hours Worked
5. Where did you do the service?
6. What service did you provide?
7. Who benefited from that service?
8. Why were you interested in doing this service? (social, civic or professional area of interest)
9. What did you learn about yourself from providing this service?
10. What did you learn about your community from providing this service?
11. Contact email for supervisor
12. Enter Your Email Address: *