Northgate High School

Senior Project Volunteer/Community Service Verification Form

Northgate High School thanks you for enabling our students to volunteer and serve your
organization. This project is a graduation requirement consisting of three parts: a research
paper, a mentored project that requires community service, and a presentation before a
panel of judges.

Please complete this information as a way to acknowledge that the student has fulfilled
his/her community service requirement. You may be contacted by NHS teachers to further
verify a student’s service.

Student Name: ​________Ava Zabolzadeh___________________________________

Name of Organization: ​________________Girls on the Run___________________

Managing Director Name:​____________Christine Harder ____________________________

Volunteer coordinators
and/or supervisor name:​____________________Christine Harder__________________________

Volunteer coordinators and/or supervisor

contact email and phone number:​_________(415) 863-8942___ ___________________

Activity Log ​(use additional log if needed to detail additional activity)

Date Number Service Activity Authorizing Signature

of hours

Feb. 2 5 Setting up and handing out Christine Harder

water at station 3