Purvis High School - Service Hours
Complete the following information in order to submit the activity for consideration for service hours. Print a copy for your records prior to submitting your form.
Student Name *
Grade for 2020-2021 School year *
Date of Service *
Number of Hours Worked *
Select amount of time from list. Do not include breaks.
Supervisor's Name *
Include person's contact number if outside of school.
Type of Service *
Identify the type of volunteer service from one of the categories below.
From the list below, identify the specific type of volunteer work done. *
Write a brief description of the work you performed. *
Submit
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