DuBois Area High School ‘Community Service Documentation Form This is 2 Graduation Requirement Al students must complete atast 15 hous of Community Senice proto er senior nterew in May of Wet senior yoo. rcoiatves ands cs tera Ch, ‘Community Service ist be competed for no-prefit organizations 2nd ns totter pay, Example ncude. Salvation Amy, churches, Special OVE Se ee ee ee et ce woe oy aaa throughout the schoo year and they are announced Gay atthe gh schok and save his completed Community Serve ost en nude the scanned documenta “oor Senior ntrview. Afr sea 2 Vigh Schou! ain Offes oro te ‘All students must scan (or take pictures) ‘Documentation form pri to submting it. ¥ your éigial Graduaton Portolo and present it during {nd saving your completed form, submit this fxm tote ‘School Counseling Department Secretary in oom C106, ‘Complete this form neatly and in pen! sudent1o# 18.944 — ‘Student Name: EllC_ McMahon Name of Organization Facility fr whom communi Special Olympics __ ee 05 Ol. 120\4 trom 8:00.00 2:00 Pr Date(s) and tines of Community Service iy service was complete: os ‘Supervisor Name: __ ‘Supervisor phone # alien. in tat you completed: ENGINE r Briefly describe the tasks/aciivities thmemang, ot Conenniy orves: 051-26 0 otal co corName: Jaynes McMalnd ait §40 9219 __— payoveonpiis: cca and a pee wna nous: LLL fll anon Ff fe