monarch school Community Service Verification Form vi vi we Monarch High School seniors must complete a total of thirty (30) hours of community service as part of the Senior Portfolio graduation requirement. ‘Ten (10) hours due by March 2, 2020. ‘Twenty (20) total hours due by April 6, 2020. 4 Allhours must be completed by May 4, 2020. © A maximum of ten (10) hours may be completed on campus at Monarch. To be completed BEFORE the performance of the community service activity Name of Organization: “IOUS LA Se Desctiptioniof Comunity Series Woe Dates When the Above-Described Community Service Took Place and Validating Signatures: Dateand Time | # of Hours ‘Supervisor's Signature, Position, and Phone Number Nw lele | gaol Vinh) U\vorvun, Fite TOTAL # OF HOURS:____ Examples of Possible Community Service Activities: © Assisting at Boys and Girls Clubs Working with Habitat for Humanity © Tutoring after school at an elementary school © Helping remove graffiti—off campus ‘© Helping at a hospital, convalescent home, or orphanage ‘© Working with community theater ‘* Helping with a community team such as AYSO soceer or Little League (helping with sports events of younger children, refereeing, etc) ‘© Helping at a non-profit organization such as St. Vincent de Paul, Salvation Army, etc. ‘© Donating blood (2 hours of credit each time blood is given) © Helping at a Key Club or community event © Helping the community through church-related activities Student must complete the reverse side of this form after completing the community service activity.