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NHS Service Hours

Member Name ________________________ Grade _____ Tri _____

Service Project ______________________________ Date ________ Hours _______

Supervisor’s Name ____________________________ Phone Number ______________

Supervisor’s Signature ___________________________________________________

Service Project ______________________________ Date ________ Hours _______

Supervisor’s Name ____________________________ Phone Number ______________

Supervisor’s Signature ___________________________________________________

Service Project ______________________________ Date ________ Hours _______

Supervisor’s Name ____________________________ Phone Number ______________

Supervisor’s Signature ___________________________________________________

Service Project ______________________________ Date ________ Hours _______

Supervisor’s Name ____________________________ Phone Number ______________

Supervisor’s Signature ___________________________________________________

Total Hours _________


Service Hours Reminders!!

 At least one service project per trimester must be


with NHS
 Service hours must total 10 hours minimum per
trimester
 Supervisor’s signature and phone number must
be provided in order for the hours to be counted.
If the project is completed with NHS, no
signature or phone number is needed.

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