Park Vista Community High School Service Log printable pdf download

Park Vista Community High School Service Log

NAME ___________________________________________ Student # ____________________________Grade ______________

Please Print

The student named above has performed the following service on the following dates:

Agency

Supervisor’s Name (Printed)

Supervisor’s Signature

Phone #

Date(s)

Hours

Total Hours _____________

Date submitted _____________________

Note: 20 hours are required for graduation, prom, grad night & parking decals. Seniors must submit hours by December of senior year.

All undersclassmen should complete 1 log per year to be turned in no later than June 1

of that school year.

Hours required for Fl. Bright Futures Scholarships: Fl. Academic Scholar=100, Medallion=75 and Gold Seal Vocational=30

Hours are reported utilizing the Honor Code: I pledge on my honor, that I have reported legitimate community service hours.

Service for one’s own family, court appointed service, and service for which one was paid are not allowable.

Student’s Signature ______________________________________________ (Please keep a copy of this form for your records)

Park Vista Community High School Service Log