Service Distinction Log
This log will be completed for every community service activity a student completes. There is no longer a separate form that must be turned into your counselor. This form will serve as the only log for community service hours and no additional form is required. You may fill out multiple organizations and dates in the same form.
Please type your first name.
Please type your last name.
Please type your year of graduation.
Who is your guidance counselor?
Organization's name with which you worked.
Describe the community service activity you performed.
On what date(s) did you perform this community service activity?
How many total hours did you spend on this activity?
By clicking yes and submitting this form, I understand that all community service activities submitted must be unpaid, volunteer work and fulfill the guidelines stipulated for a Service Distinction Diploma. I understand that all hours may be audited.
If you have questions about whether an activity would count, consult with your school counselor or AP.
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This form was created inside of Medway Public Schools.