FPHS Tri-M Service Hour Submission
Please answer all questions below. REMINDER: Service hours not approved by Mr. Specketer or Mr. Pereyra before the date they take place will NOT count towards your required 15 hours.
Name (Last, First) *
Your answer
Member Status *
Short description of community service: *
Your answer
Date of service: *
MM
/
DD
/
YYYY
Number of hours *
Approved by: *
Submit
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