DuBots AREA HIGH SCHOOL COMMUNITY SERVICE TIME SHEET ‘New Community Serv ‘YOU NOW MAY COMPLET! Class of 9017 ~ Must complete 10 Community Service Hours by the beginning of your senior year.** Class of 2018 Mast complete 10 hours of Community Serview Hours by end of your JUNIOR yewt:*® Class of 2019 ~ Must complete 15 hours of Community Service Hours by the end of your JUNIOR year Class of 2020 - Must complete 15 hours of Community Service Hours by the end of your JUNIOR yeat.** All underclassmen mast scan Community Service houts to thet portfolio as completed. When all required hours are completed, students must submit the timesheet to A238 Step 1: To be completed by the STUDENT Seudent Name! Sy eer arte reed oS tea teoe age ere teSe mT Peeves ere Dasyes | Where you “Tatk/Activity Hows Supervisor ae ‘completed (Describe briefly) | Completed Information idjamiy) | community service 9-23-16 | DuBois Area Middle | Student was elthera grade | # hours Schoo! leader or an activity leader | for Captre the flag, Yard | games, or 4-Square for Keep It Moving 2016! | SUPERVISOR Grafeaion | reef tha COO {completed 4. numer of ours on 9-23-16_»t DAMS. | (aden ame) (re tS ae) Coca) | SUPERVISOR Signature: fs a Sykiswtle voluntecred i B81 (| Sates. ’ an at Of Mena Bg etowtl fac |e (Aces KI pe es | SURERVROR Ses ] ; 5] |evaip he ach lag) compet Comte of hint on ELIE Aebitet gf a Frew Gide nome) 9 i) ar) | suPERVIsOR Signe Hea 2 | Continue community service journal on back