EHS I
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NDIVIDUAL
OMMUNITY
ERVICE
OURS
T
F
RACKING
ORM
Use this form to track your individual community service and volunteer hours.
When complete, enter the hours on the Madison East High School Volunteer & Community Services form, located on the East High website.
Name:________________________________________________________
Student ID:______________________________________
MMSD email address:_____________________________________________ Graduation year:________________________________
Hours may not be earned for:
Fundraising for Madison East High School clubs, sports or organizations.
Any service with a material or monetary reward.
Hours helping a family member in a role that typically any family member would
Court-mandated community service hours
do, e.g. babysitting for a sibling, household chores, etc.
Participation in athletics (including acting as a manger of team)
Hours worked before June 1, 2012
Date (s)
Total Time
Organization
Activity
Supervisor’s email and phone
Supervisor’s signature
number