Community Service Hours Log
Please complete this form to record your community service activities for verification and tracking purposes.
Volunteer Name
*
First Name
Last Name
Volunteer Email Address
*
example@example.com
Volunteer Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Date of Service
*
-
Month
-
Day
Year
Date
Start Time
*
Hour Minutes
AM
PM
AM/PM Option
End Time
*
Hour Minutes
AM
PM
AM/PM Option
Total Hours Completed
*
Organization/Agency Name
*
Description of Service Activity
*
Supervisor Name
*
First Name
Last Name
Supervisor Email Address
*
example@example.com
Supervisor Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Supervisor Approval (Signature)
*
Comments or Reflections (Optional)
Submit Log
Submit Log
Should be Empty: