2017-2018 Student Service Tracking Form Harmony Elementary School Tracking from 1, 2017 March 31, 2018 – NAME: ____________________________ PHONE: _________________ PARENT EMAIL: _____________________ GRADE: _________ TEACHER: _____________________________ DATE DESCRIPTION OF SERVICE PERFORMED AREA HOURS & BENEFITING ORGANIZATION OF SERVICE * *AREAS OF SERVICE: (1) Youth Achievement (2) Parks and Open Spaces (3) Healthy Communities (4) Public Safety & Emergency Response See reverse for more detail and definitions of service I certify that the information is accurate Parent Signature: _________________________________________________ Date ______________
2017-2018 Student Service Tracking Form Harmony Elementary School Tracking from 1, 2017 – March 31, 2018 NAME: ____________________________ PHONE: _________________ PARENT EMAIL: _____________________ GRADE: _________ TEACHER: _____________________________ DATE DESCRIPTION OF SERVICE PERFORMED & BENEFITING ORGANIZATION AREA OF SERVICE * HOURS *AREAS OF SERVICE: (1) Youth Achievement (2) Parks and Open Spaces (3) Healthy Communities (4) Public Safety & Emergency Response See reverse for more detail and definitions of service I certify that the information is accurate Parent Signature: _________________________________________________ Date ______________