NJCL GROUP/CHAPTER Community Service Award 2016 (Hit Pop-Out)
JCLers giving back to the communities that made them great!

Only one form per GROUP/CHAPTER

Due July 1st!

School Name
Your answer
State
Your answer
Student Contact
Please list a student representative
Your answer
Student Phone Number
Your answer
List of Service Center(s) or Activity(ies)
List all the JCL service projects you helped with throughout the year.
Your answer
Please describe your service(s) and list the amount of hours per activity
Your answer
TOTAL HOURS SERVED
Your answer
Additional Information
Please e-mail any pictures you have of your service activities to vp2@njcl.org.

****Also, in order to finish your application, please have your sponsor (your Latin teacher) e-mail Hanna Seariac at vp2@njcl.org that they agree that your application is valid.*** If this is not possible, pictures will suffice.

Thank you!

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