Community Service Project Form
STUDENT NAME _____________________________ GRADUATION YEAR__________
TOTAL HOURS OF PROJECT ________________
PROJECT DATE ________________
ORGANIZATION NAME ______________________________________________________
DESCRIPTION OF PROJECT:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
SIGNATURE OF ADULT IN CHARGE_____________________________________________
(POSITION, IF APPLICABLE) ____________________________________________________
I have followed the community service guidelines that are included on the back of this
form.
STUDENT SIGNATURE _________________________________________________________
School Contact: Krista Mills – (561) 686-4244
*Please turn this form in to the Registrar in the High School office.