DUBOIS AREA HIGH SCHOOL CSOMMUNITY SERVICE TIME SHEET New Community Service Hours and completion year will be phased in by graduating year. $ ANYTIME BEFORE THE DU YOU NOW MAY COMPLETE YOUR REQUIRED HOU! Class of 2016 ~ Must complete 10 Community Service Hours by Sept. 30% of your senior year.* Class of 2017 — Must complete 10 Community Service Hours by the beginning of your senior year.** J] Class of 2018 ~ Must complete 10 hours of Community Service Hours by end of your JUNIOR year.** Class of 2019 = Must complete 15 hours of Community Service Hours by the end of your JUNIOR year.** *The Class of 2016 may submit Community Service hours as completed. **All underclassmen must scan Community ortfolio as completed. When all {Lteauired hours are completed, students must submit the timesheet to A238 Student Name: STEP 2: Community Service Time Sheet Each time you complete community service you } complete GRAY box ave supervision Data you ‘Where you Task/Activity | Supervisor complete completed ‘Describe briefly) *| Completed Information | service zs ty, | Gd/mim/ye) | community service y Seem ees \ 0 siete - lio} aoe , SoBe — ocr | CSIC tacd wi2|. pA.uc SUPERVISOR Gettin ia . | reenify that SUS Oot Lane foal F psinter of rues on 2 HB ALL Geudent name) 7 { cf of how (Gate) (location) SUPERVISOR Signat hy. f i - t “] Seperapor Names | Do MO ord | 4 SA nen pJAS| | ~ “ Supervisor Phone Number: VOID | wv Super Eom SUPERVISOR Certification: 5 Leetify thet SUS (G0 64 complered 2 sunterfrnrs on we DUS. | (Grudent name) (sof hourg), (Gate) location) : ‘SUPERVISOR Signature: Coen oes ee Continue community service journal on back