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Community service

project
Students name
Students last
name
Address
Country
E-mail
Telephone
Date: ___________________________________________________________________________
My community service Project will be _________________________________________________
________________________________________________________________________________
________________________________________________________________________________
I chose this because _______________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
My goals are
________________________________________________________________________________
________________________________________________________________________________
Other information or comments
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
Other students in my group are
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
Location of community service: ______________________________________________________
Number of hours allocated: _________________________________________________________

Teacher approval ________________________

Parent approval: _________________________

Students signature _______________________

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