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Foran High School Graduation with Distinction Community Service ...

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<strong>Foran</strong> <strong>High</strong> <strong>School</strong><br />

<strong>Graduation</strong> <strong>with</strong> <strong>Distinction</strong> <strong>Community</strong> <strong>Service</strong> Log<br />

June 1, 2013 – August 31, 2013<br />

Student Name (please print):<br />

Organization/Project:<br />

Description of Volunteer <strong>Service</strong>:<br />

Class of 20_____<br />

Date Day Activity Hours<br />

Example: June 8, 2013 Saturday Freshman Orientation Guide 3 1/2<br />

Total Hours:<br />

I verify that I completed the community service during the hours described above and I was<br />

actively involved in the service described.<br />

Student Signature<br />

Date<br />

I verify that the above named student completed community service during the hours described<br />

above and that he/she was actively involved in the service described.<br />

Volunteer Coordinator (please print) Volunteer Coordinator Signature Date<br />

Organization Job Title/Position Phone Number<br />

Return completed form to Tammy Carino in the Main Office no later<br />

than October 1, 2013. There will be no exceptions or extensions.

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