Community Service Approval Form - James Logan High School

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James Logan High School – Community Service Approval Form
(Community service projects and upcoming events are posted in the JLHS Career Center or on the JLHS website.)
I N S T R U C T I O N S :
Do BEFORE the event:
 Contact the supervisor of the agency and discuss the work you’d like to do.
 All service must be done at a non-profit organization in possession of an IRS issued 501C form.
 Complete sections 1 and 2 of this form (top & bottom) prior to the event. (Give a complete description of the type
of work, date, time.)
 Parent signature must be included before submitting the form for approval.
 Complete section 3 of the form after completing the activity (must have supervisor signature).
 Submit this form for approval (may take up to 3 days) to the Career Center before attending the event.
SECTION 1
Student Name: __________________________________ ID #: ________________ Class of : _________
House: _____ Counselor: _________________
SECTION 2
Organization: ______________________________ Supervisor Name: _________________________
Phone: ________________________
Start Date: ____ / ____ / ____
Responsibilities:
______________________________________________________________________________________
______________________________________________________________________________________
____________________________
____________________________
____________
Student Signature
Parent Signature
Date
SECTION 3
Hours Serviced: _______ Completion Date: ___ / ___ / ___ Supervisor Signature: __________________
FOR OFFICE USE ONLY
______________________________
____________
___ /___ /___
____________________
______________________________
Pre-approval / date
Hours Completed
Date
Approval Signature
Total Hours Completed / Date
IMPORTANT NOTE: It is the responsibility of the student to safeguard this form. If lost, complete a new form and verify hours again.
--------------------------------------------------------------------------------------------------------------------------------------------------------------------------
S T U D E N T C O P Y : FILL OUT section 1 and 2 below before submitting form. Retain the copy for your records.
SECTION 1
Student Name: __________________________________ ID #: ___________________ Grade: _____
SECTION 2
Organization: ______________________________
Event Date: ____ / ____ / ____
FOR OFFICE USE ONLY:
Student completed _________ hours of community service on date listed above and now has a total of _________
hours completed.
____________________
___ /___ /___
Approval Signature
Date
.
James Logan High School – Community Service Approval Form
(Community service projects and upcoming events are posted in the JLHS Career Center or on the JLHS website.)
I N S T R U C T I O N S :
Do BEFORE the event:
 Contact the supervisor of the agency and discuss the work you’d like to do.
 All service must be done at a non-profit organization in possession of an IRS issued 501C form.
 Complete sections 1 and 2 of this form (top & bottom) prior to the event. (Give a complete description of the type
of work, date, time.)
 Parent signature must be included before submitting the form for approval.
 Complete section 3 of the form after completing the activity (must have supervisor signature).
 Submit this form for approval (may take up to 3 days) to the Career Center before attending the event.
SECTION 1
Student Name: __________________________________ ID #: ________________ Class of : _________
House: _____ Counselor: _________________
SECTION 2
Organization: ______________________________ Supervisor Name: _________________________
Phone: ________________________
Start Date: ____ / ____ / ____
Responsibilities:
______________________________________________________________________________________
______________________________________________________________________________________
____________________________
____________________________
____________
Student Signature
Parent Signature
Date
SECTION 3
Hours Serviced: _______ Completion Date: ___ / ___ / ___ Supervisor Signature: __________________
FOR OFFICE USE ONLY
______________________________
____________
___ /___ /___
____________________
______________________________
Pre-approval / date
Hours Completed
Date
Approval Signature
Total Hours Completed / Date
IMPORTANT NOTE: It is the responsibility of the student to safeguard this form. If lost, complete a new form and verify hours again.
--------------------------------------------------------------------------------------------------------------------------------------------------------------------------
S T U D E N T C O P Y : FILL OUT section 1 and 2 below before submitting form. Retain the copy for your records.
SECTION 1
Student Name: __________________________________ ID #: ___________________ Grade: _____
SECTION 2
Organization: ______________________________
Event Date: ____ / ____ / ____
FOR OFFICE USE ONLY:
Student completed _________ hours of community service on date listed above and now has a total of _________
hours completed.
____________________
___ /___ /___
Approval Signature
Date
.

Download Community Service Approval Form - James Logan High School

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