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:
 
*Organization:
 
*Phone:
 
*Address:
 
*City:
 
*State:
 
*Zip:
 

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