SHIVE Student taudbook 20-2015 COMMUNITY SERVICE MOUIS VERITICATION FOI DUE DATE: FRIDAY, APRUL 17, 2015 AOTE TO STUDEN; PUBLISH THIS SUGNED FORM ON “PROTECT: PAGE OF EPoRTIOUE. NAME OF stubENT__AJiC@ Cho NAME OF MENTOR SOPHIA LV ORGANIZATION. KPC OL DATE_US /16/ 2015 You have been chosen (as a Mentor) to ve service for the 2014/2015 school year. By signing this form, you are ache that this student worked in a valid capacity, for at least 20 hours, Please ke pin mind that, while students need to complete 20 hours of community service in order ¢o complete Project SERVE, you are under no obligation to sign this form ifyou feel that the student has not truly met this requirement. ify this student's 20 hours of community na tie 2 Alite Chow During th 2014/2015 school year,__[\\ AG core Orn has completed at least 20 hours of community service for_Y CC " [NAME OF ORGANIZATION OR MENTOR}