NEWTON HIGH SCHOOLCOMMUNITY SERVICE COMPLETION FORM

Student Name	_________ Total # Hours _	

*Please note: a minimum of 40 community service hours are required to earn the Community Service Seal. *

DATE COMPLETED
	
AGENCY
	# OF HRS.
	
SUPERVISOR SIGNATURE

				

				

				

				

				

				
				
TOTAL HOURS COMPLETED

TURN INTO HS OFFICE UPON COMPLETION OF HOURS 

DUE ON OR BEFORE MAY 1ST OF YOUR GRADUATING YEAR