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Counselor_________________________

Date Received__________

Fishers High School


Senior Community Service Hours
Students Name___________________________
Number of Hours Completed_________________
Date of Activity___________________________
Brief Description of the Activity
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Parent Signature__________________________________________________________

Counselor_________________________

Date Received__________

Fishers High School


Senior Community Service Hours
Students Name___________________________
Number of Hours Completed_________________
Date of Activity___________________________
Brief Description of the Activity
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Parent Signature__________________________________________________________

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