Graduation Service Hours Form

Class of 2010

Tri-Point Graduation Service Hours

CLASS OF 2010

• Each student is required to complete a minimum of 10 hours of community service in order to graduate.  The hours can be accumulated beginning the summer of senior year through the fourth quarter of the year.
• Services projects can be completed in or out of school on the approval of the principal.
• Service hours must be documented on Service Request Sheets and signed by an individual overseeing the work.
• If a student is transferring into Tri-Point, carry-over service hours from the previous school will not be counted towards the 10 required hours.
• Students can not receive payment or other forms of compensation for their services.
•  Please see the principal in the event of special circumstances.

 Previous Services hours have been completed by:

•  Volunteering at hospitals, sports camps, nursing homes, libraries, or the Cullom Fair;
•  Assisting at city functions or Boys and Girl Scout Meetings;
•  Raking leaves of elderly or disabled neighbors;
•  Shoveling snow for elderly or disabled neighbors;
•  Or helping clean the town parks.

 

 

Tri-Point High School Service Hours Form

Student Name: _______________________________________________________________

Name of the organization or location where service where service is to be completed: __________________________________________________________

Name of supervisor: ______________________________________

Date(s) of service: _____________________

Briefly describe service to be completed:

  

 

Principal Approval ________

 VERIFICATION OF COMPLETED SERVICE

 The above student has completed _____ hours of community service at the above site on _____________.

 Site/Organization Supervisor’s Signature: _____________________________ Date: ________

I, the above student, verify that the information on this form is correct and I have completed the hours documented above. I verify that all the community service requirements have been met for this activity. I understand that if any information is found to be incorrect, the hours may not be counted towards the graduation requirement.

Student signature: _________________________________________ Date: ________________

I, the parent or legal guardian of the above student, verify that the information on this form is correct. I understand that if any information is found to be incorrect, the hours may not be counted towards the graduation requirement.

Parent/Guardian signature: __________________________________ Date:________________

 

 

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