Community Service Completion Form

Schools and organizations use this form to document and approve the community service hours a student has completed.

Use this template

Date

Student Name

First Name

Last Name

Grade

Name of Organization

Address of Organization

Street Address

City

State / Province

ZIP / Postal Code

Contact Number of Organization

Email Address of Organization

Brief Description of Community Service Performed

Number of Hours Performed

Signature of Supervisor

Sign here

Coordinator Approved?

Yes No

Date

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