Silver Cord Program Log
Hours or “Service Hours” 
Any diploma could be designated “distinguished volunteer service” to acknowledge a set number of volunteer service hours to a non-profit organization. Silvercord hours must be for providing a service or meeting a clear need for an agency, church, school, park, charity program, fundraiser, or community event.

***Forms MUST be turned in by the end of the school year in which service was completed to earn credit***
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Email *
Graduation Year *
First and Last Name *
Name of Organization *
Dates of Service:  *
Amount of Time *
Name of Person Supervising: *
Supervisors Phone Number: *
Explain what you did during volunteering time: *
Supervisors Email
A copy of your responses will be emailed to the address you provided.
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