Syring Student Service Hours

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Thank you for your service to our CREEK community. We would like to keep track of the service that our students provide throughout the 2012-13 school year and we will honor our students for their service at the end of the year.

The "American Citizenship Award" is given to Syring students at the end of the year who participate in at least 20 hours of school and/or community service and show a positive attitude toward classmates, school, and community.

"Presidential Volunteer Service Awards" are given to students who meet the following criteria:
BRONZE – 50-74 hours
SILVER – 75-99 hours
GOLD – 100+ service hours

Student Name *

Please type in this format: LAST NAME, FIRST NAME For Example: Smith, John

Student Grade *

Kindergarten

First Grade

Second Grade

Third Grade

Fourth Grade

Fifth Grade

Required

Homeroom Teacher's Name *

Mrs. Janowak

Mrs. Clark

Mrs. Latva

Mrs. Anderson

Mrs. Bohm

Mrs. McNaughton

Mrs. Neu

Mrs. Harbert

Mrs. Sherman

Mrs. Kimbrue

Mrs. Lindgren

Required

Date(s) of Community Service *

Type in the date(s) of service in this format: 2/7/12 or 2/7/12, 2/9/12 and 2/10/12

Number of Hours of Service *

Type in a number: 0.5 for half hour, 1.0 for an hour

Description of Community Service *

Describe what type of service you provided to the school or community. For example, "I raked leaves for a neighbor." "I picked up trash on the playground."

Name and phone number of an adult that knows that you did this community service *

This could be a parent, teacher, neighbor, boy scout leader or any adult that knows that you did this community service work.

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