LCSB Verification of Community Service Performed in Grades 9-12 for the Florida Bright Futures Scholarship Program FAS = 100 hrs FMS = 75 hrs GSV = 30 hrs (submit completed log to high school guidance counselor) Student Name: __________________________ Student Number: __________________ Graduation Year: _______ Date of Service # of Type of Volunteer Work Site of Verifier Name Verifier’s Verifying Phone (Beg-End) Hours (activity or task performed) Volunteer Work (PRINT) Signature Number TOTAL VOLUNTEER HOURS-------------------------------------------------------------- If additional space is need, please use the back of this form. Updated 9-19-2011 mfm
LCSB Verification of Community Service Performed in Grades 9-12 for the Florida Bright Futures Scholarship Program FAS = 100 hrs FMS = 75 hrs GSV = 30 hrs (submit completed log to high school guidance counselor) Student Name: __________________________ Student Number: __________________ Graduation Year: _______ Date of Service (Beg-End) # of Hours Type of Volunteer Work (activity or task performed) Site of Volunteer Work Verifier Name (PRINT) Verifier’s Signature Verifying Phone Number TOTAL VOLUNTEER HOURS-------------------------------------------------------------- If additional space is need, please use the back of this form. Updated 9-19-2011 mfm