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WACS Community Service Log
Please submit your hours through this form.
Please enter your full name. *
Your answer
Please enter date community service served. *
MM
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DD
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YYYY
How many hours did you serve on this day? *
What is the name of the organization where you served? *
What service did you provide? *
Your answer
Please provide name of supervisor at the organization. *
Your answer
Please provide supervisor's phone number. *
Your hours will be verified at random.
Your answer
I acknowledge & understand that falsifying information can lead to my dismissal from the program. *
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This form was created inside of Anderson Interfaith Ministry. Report Abuse