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Community Service Hours Verification From
First Avenue Middle School: You need both the paper form with sign off as well as all of your hours logged onto this spreadsheet.
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* Indicates required question
Email
*
Your email
Student Last Name
*
Your answer
Student First Name
*
Your answer
Student ID#
*
Your answer
Grade
*
6
7
8
Date of Service
*
MM
/
DD
/
YYYY
Name of Volunteer Organization (the place where you volunteered)
*
Your answer
Total Hours Volunteered (if more than 10 hours, explain at the end of the form)
*
Choose
1 hour
2 hours
3 hours
4 hours
5 hours
6 hours
7 hours
8 hours
9 hours
10 hours
10 hours +
Name of Verifier (adult at organization authorized to sign off that you did your hours)-make sure Verifier signs your paper form.
*
Your answer
Verifiers Phone Number or Email
*
Your answer
Any comments/clarifications?
Your answer
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