Volunteer Community Service Hours -- 2nd semester and summer 2018-19
Include volunteer hours from 2-1-2019 through 8-31-2019


Hours may NOT be earned for:

*Any service with a material or monetary reward.
*An activity that advances or inhibits religion (e.g. participation in a religious service or conducting religious instruction)
*Court-referred community service hours
*Fundraising for Middleton High School clubs, sports or organizations.
*Hours working for a business or organization that earns a profit.
*Hours helping a family member in a role that typically any family member would do, e.g. babysitting for a sibling, household chores, etc.
*Hours worked prior to the beginning of your Freshman year.
Student ID Number *
Your answer
Last Name *
Your answer
First Name *
Your answer
MHS Email Address *
Your answer
Grade *
Volunteer Organization *
List the organization or group that you volunteered with. NOTE: If this is a project that is associated with KEY CLUB, do not enter your hours. Your Club adviser will submit them at the end of the semester.
Your answer
Contact Name at Organization *
Your answer
Organization Contact Phone Number or Email
Your answer
Date Service Started *
This may be a range if you worked with the same organization on multiple dates
MM
/
DD
/
YYYY
Date Service Ended *
MM
/
DD
/
YYYY
Total Number of Hours worked--Enter in Half hour Increrments *
For example: 9 hours and 15 minutes would be 9.5. You may round up to the nearest half hour.
Your answer
Briefly summarize your volunteer work. *
Your answer
What was your area of Service? *
Do you affirm that the hours you are submitting were truthfully served by you? *
Required
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