Cannon Falls High School National Honor Society

Community Service Hours

                1^st Semester 22 hours required/2^nd Semester 14 hours required

 

 

_____________________________________                      _____________________

Student’s Name                                                                       Date

 

 

 

            The above named student has completed   _______  hours of volunteer/community service and should receive credit for the following:

 

(Describe job, duties, work completed, etc.)

 

 

 

 

(Signature cannot be a parent or relative.)

 

 

________________________

 Verifying Signature

 

______________________________________________________________                                                                               

Address

 

_________________________                                                                                 

Phone Number