Community Service Pre-approval Form
Please fill out the following fields in order to submit a form for preapproval. You will be contacted if your service does not fit within the guidelines. Please read he information/approved list on the website before filling out this form. If you have any additional questions, email: mmero@yorktown.org

If you would  would like to check your hours, click on the YHS Community Service Website and "Check your hours." Instructions are on that page. https://sites.google.com/a/yorktown.org/yhscommunityservice/
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Graduation year *
We count hours the July after a student's 8th grade through September 10 of their senior year.
Required
Last Name *
First Name *
SCHOOL email address *
Please only use your yorktown.org address here so that we may communicate with you effectively.
Student ID number (Format as 00700XXXX) *
Title of service *
examples: Relay for life, community day, CIT at Yorktown day camp, etc.
Describe the activity/tasks you will perform *
What will you do throughout this activity?
Dates of the event: Format as mm/dd/yy *
Add specific dates. This must be specific in order for this to be approved.  If your activity is ongoing, include the first date here and then click yes on the question below.
Is this an ongoing activity? (Ongoing activities would be one that you do more than once on a regular basis)
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Supervising Member's name and email address and/or phone number *
Please provide an adult supervisor for this event.
Number of projected hours *
Estimate how long this activity will take you
As a participant of the YHS Community Service Program, I realize that my behavior in the community is a reflection of my school.  I promise to observe the YHS Code of Conduct and to behave on an appropriate manner. *
Required
Your data will be stored automatically; however, it is not possible at this time to show you a duplicate of this form once you have submitted it. Please print this before hitting submit if you would like to have a paper copy of your submission. *
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