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Home > Service Hour Verification

Service Hour Verification

 
Name: __________________________________________   Grade: ______________

Date: ______________________  Religion Teacher: _______________________________________

Location and Description of Service: __________________________________________________________________________

______________________________________________________________________________________________________

______________________________________________________________________________________________________

Record a separate entry for each day of service. Supervisor's signautre and telephone number must appear for each entry. 
 
Date Hours Supervisor's Telephone and Signature
     
     
     
     
     
     
     
     

 
Total Hours Completed: ______________
 
 

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