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DUBOIS AREA HIGH SCHOOL COMMUNITY ( SERVICE TIME SHEET New Community Service Hours and completion year will be phased in by graduating year YOU NOW MAY COMPLETE YOUR REQUIRED HOURS AN FORE THE DUE DATE | cuss of 2016 Must complete 10 Community Service Hours by Sept SO of you senior ye: * Ces of 2017 ~ Must complete 10 Commanity Service Hours by the bgimsng of your senior yea.*® Cins of 2018 ~ Must complete to hours of Community Service Hout by end of your JUNIOR yea.*# Clase of 2010. Must complete 16 houre of Community Service Hours by th end of your JUNIOR year.** ‘The Class of 2016 may submit Community Service hours as completed **Al] underclassmen must sean Community Service hours to their portfolio as completed, When all required hours are completed, students must submit the timesheet to ASS8 Cae gece cpu) aKre Student Name! Speen tere es ro Meee eter mere VS Moet carey Pee eaane Due Where you "Tale Activity, Hours ‘Supervisor at completed | (Describe briefly) | Completed | Information aifnm/ye) | community service | ) . - Spam ipe Wipe) Pas Ree 8 | os | SE 1 Seabee TROL ee renny ha Dente Lassen pect 5 Bille» PAE SG lo eis SUPERVISOR Sane : | Sere | ‘SUPERVISOR Caifantion = ee thee Gide ne) ein) = SUPERVISOR Sigmar Se = Continue community service journal on back DuBots AREA HIGH SCHOOL COMMUNITY SERVICE TIME SHEET UR REQUIRED f1OURS ANYTIME BEFORE: THE DUE DATE, ‘XOU.NOW MAY COMPLETE (Cass of 2016 ~ Must complete 10 Community Service Hours by Sept. 30" of your senior year® Class of 2017 ~ Mut complete 10 Community Service Hours by the beginning of your sear year.** (Class of 2018 ~ Must compete 10 hours of Community Service Hours by end of yur IINTOR year.44 {lass of 2019 ~ Must complete 16 hours of Community Service Hours by the end of your JUNIOR year {The Class of 016 may submit Commmanity Service hours as completed **All underelasmen must scan Community Service hours to thei portfolio ws completed. When all required hours are completed, students tmust submit the timesheet to A838 Student Namet Downe,“ Dauvtcvs Sor te ees Peart ey toe eats peste eet OR aed recede : fee was a Tan/hety Sp oer Sener set | complied — | (Deobebelyy | comand] rnenr wi | comm se ; Swower | Qunale Botelbell Clone ( i; mei > 206 | Ehalng (you) ae eel medal 1120} te at He Ent finn a Ll surmmvison gues AD yy zl Theol fr | Pa Fol De iy tt Dow te Tet mh peed numberof hours on, iiss 5 eer surenvior sane BLA) _ Continue community service journal on back ‘SUPERVISOR Goats 7 h

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