COMMUNITY SERVICE REPORT
NAME: HOMEROOM:
SOCIAL
STUDIES TEACHER:
1. In the space below briefly describe your community
service project or activity, including its goal and who will benefit (group,
organization, individuals.)
2. Write one paragraph describing what you learned from
this experience, and what you feel you accomplished (use the back of this form
if you need more space.)
I
affirm that I have completed all of the above requirements for this service project
to the best of my understanding.
Student Signature Date
Teacher Signature of Approval
Parent Signature of Approval
Signature
of Supervisor
Hours Completed