• NHS Volunteer Hour Log

    Please list all volunteer activities you have completed on the form below.  Fill out all information for each activity.  Please list the name of someone for each activity who can verify your service.  This can be the organizer of the activity or some other person involved with the group/organization. At least two of your service hours must be in a school district related activity.  These are due by April 30 to Mr. Pollock in room 258.  Please hand in a printed document with all of your information. 

    Location of Service: _____________________________________________________________________

    Activities Completed:___________________________________________________________________________

    _____________________________________________________________________________________

     Date of Service:______________________________________ Number of Service Hours:____________

    Name of Organizer of Service Activity:______________________________________________________________________________

    Phone Number or Email of Organizer_____________________________________________________________________________

    Location of Service: _____________________________________________________________________

    Activities Completed:___________________________________________________________________________

    _____________________________________________________________________________________

     Date of Service:______________________________________ Number of Service Hours:____________

    Name of Organizer of Service Activity:______________________________________________________________________________

    Phone Number or Email of Organizer_____________________________________________________________________________

    Complete additional pages or print multiple forms if needed. 

    Total School Service Hours: _______________

    Total Community Service Hours:_____________________

Last Modified on September 20, 2016