Name ______________________________________

Grade _________

Date that I completed my service project for Honors Society ________________________

Amount of time I invested in my service project  _______________________

Short description of my service project ………………….

_______________________________                                 _______________________________

   Student Signature                                                Parent Signature        

Name ______________________________________

Grade _________

Date that I completed my service project for Honors Society ________________________

Amount of time I invested in my service project  _______________________

Short description of my service project ………………….

_______________________________                                 _______________________________

   Student Signature                                                Parent Signature        

Name ______________________________________

Grade _________

Date that I completed my service project for Honors Society ________________________

Amount of time I invested in my service project  _______________________

Short description of my service project ………………….

_______________________________                                 _______________________________

   Student Signature                                                Parent Signature