Certification of Community Service

Hours
Name: ________________________________________________________
Volunteer Site:
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Description of your responsibilities:
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Total number of hours: ___________________________________
Completed: ___________________
Supervisors Name: _____________________________________
Title:______________________________________
Supervisors Signature: _____________________________________
Date: _________________
Students Signature: ________________________________________
Date: _________________

45 Georgian Road Weston, MA 02493-2198 781 642-8600 www.csw.org

Dates

Supervisors: You may return this document to Johra Tucker jtucker@csw.org

or c/o The Cambridge School of Weston, 45 Georgian Road, Weston, MA
02493.
Students: You may return this document to your advisor. Internships, work
for credit or paid work will not count towards your community service hours.

The Cambridge School of Weston 45 Georgian Road Weston, MA 02493-2198 781 642-8600
www.csw.org