High School Community Service Form
Thank you for your interest in participating in community service. Please fill out the form below to register for community service activities.
Full Name
First Name
Last Name
Grade Level
9th Grade
10th Grade
11th Grade
12th Grade
Student ID
Email Address
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Parent/Guardian Name
First Name
Last Name
Parent/Guardian Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Emergency Contact Name
First Name
Last Name
Emergency Contact Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Community Service Activity
Please select the community service activity you are interested in participating in.
Activity Name
Description of Activity
Activity Date
-
Month
-
Day
Year
Date
Activity Time
Supervisor Name
First Name
Last Name
Supervisor Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Supervisor Email Address
example@example.com
Parent/Guardian Consent
Submit
Should be Empty: