Service Learning Reflection for Ms. Thachenkery's classes.

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Please enter the required information below to document the completion of service hours for your service hours requirement. The required number of hours are 10 hours for seventh grade students.

Students may complete up to 1/2 of their service hours over the summer.

Student Name *

Date of Service *

YYYY

Number of Service Hours *

What is the name of the person who supervised the service activity? *

What is the phone number of supervisor of the service activity? *

The service activity was: *

Briefly describe the service activity. *

What did you observe or learn from this service activity? (Minimum One Paragraph) *

Describe any benefit or impact of your work on others as well as yourself. (Minimum One Paragraph) *

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