Community Service Report
Community Service Policy: A minimum of 20 hours of community service per year of enrollment with Griggs is required.


*Name (Last, First, MI):
*Student ID#:
*Dates Served (mm/dd/yy to mm/dd/yy):
*Total Hours of Service:
*Description of project, including duties performed:
*With my signature I verify that I have completed the community service as recorded above:
Date Signed:
*Signature of Supervisor:

Formerly Home Study International

Griggs University

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