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eed DuBols AREA HIGH SCHOOL COMMUNITY SERVICE TIME SHEET ‘New Community Service Hours and completion year will be phased in by raduating year RE THE DU YOU NOW MAY COMPLETE YOUR RES ATE Class of 2016 ~ Must complete 1 Community Service Hours by Sept. 30 of your senior year.* Class of 2017 ~ Must complete 10 Community Service Hours by the beginning of your senior year.** Class of 2018 ~ Must complete 10 hours of Community Service Hours by end of your JUNIOR year ** Class of 2019 ~ Must complete 15 hours of Community Service Hours by the end of your JUNIOR year.** *The Class of 2016 may submit Community Service hours as completed. **All underclassmen must scan Community Service 0 their portfolio as completed, When all required hours are completed, students must submit the timesheet to Ags So eae CLC nsec Suele a Ney Student Name: Laura J. Orner Sarena rents ted ee erat eer ne OR m tet crar tty complete GRAY box. Date you Whereyou | iy | Hours Supervisor complet | completed Describe briefly) | Completed | Information (ivem/y) | community service | | Connie Oak Jove + 712, : 201d | suuapues |aommwnonécseees Icey that tsurnbres Cane completed 2 _marbe of hours on E1118 at fat Cade ‘det em) expo) Ga) “Get suvervison sigmoine aul Wiape = — | Baye | Whee you wi = comiaet | completed Deresbently) | Compleed | information ad | community service io | Bibmvgn Ph [parte Woke a Syste: aes | sme [owe snare | ous “ Sewoe on BH ‘SUPERVISOR Certification: ~ ery ht Lures Qrme~ compel 40__sumber of turson 1] 26-70} ies _A.usburye PB. _ ‘ent nam) ‘exfiam) a ee SUPERVISOR Signature: a _ | SUPERVISOR Coaifeion Tee ha “epi = ane fie, (student name) (eof hours) (date) (location) ae << ea ‘SUPERVISOR Cerin: Genders vas)

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