Council 16011 Service Hours Completed
For the list of activities below, select the number of Service Hours you have completed for the month you are recording, if any.

For activities with more than 30 Service Hours completed, please capture these in the "ACTIVITIES WITH MORE THAN 30 SERVICE HOURS COMPLETED" section at the end of this form so we can record these hours accordingly.

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Email address *
Please enter your First and Last name: *
Please enter today's date: *
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YYYY
Please select the month for the Service Hours being reported: *
Do you have any Service Hours to submit for this month or a prior month? *
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