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Community Service Yearly
Tally Sheet

One of your graduation requirements is the completion of 10 hours of community service each year in middle school.  To keep track of your hours, you are to tally them by filling in the information below.  Entries must be completed in ink.


Community service is defined as helpful activities done for people outside the home and can include summer activities preceding the current school year.  Hours earned beyond 10 are not carried over to the next year.  Return this form to your homeroom teacher when you have completed your 10 hours for the year.

I                                                    have completed hours              of community service in the current school year. 

I certify that my child has completed the above documented community service hours for the year.

Thanks for submitting!

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