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ep.) DUBOIS AREA HIGH SCHOOL ed Seoniop COMMUNITY SERVICE TIME SHEET , ‘You WAKE A LIVING BY witat YOU GET, BUT YOU MAKE A LIFE BY WHAT YOU GIVE,» WINSTON CHURCHILL Sip Meee ec nh au su pNONSON GIy ' Homeroom Teacher: (( NOS, Sees Where you volunteered Supervisor's Names ayy’ Supervisor's Phone: ( Superviaor's E-Mail: -Agency/Site Name: Please prove a bref description ofthe work the student performed for you or for your epgetanlon/ ep regio A toags Cor goed iti challenge Please tHe date(s) thatthe students conducted his/her community service: **Scan this document into your student drive.*® the C submit completed forms to Me. Gordon or Conter A380 PERO eane see Moe Convene ae ‘Contac Pervn Kyle Gordon ~ KGotdon@aed krxpase Dallas Are High School ~ 433 Orient Avenue ~ Duos, PA ior Susi) = -s7-928(Fas)

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