PCS: COMMUNITY SERVICE LOG 2023-2024

	DATE(S) OF SERVICE	NAME AND EMAIL OF ORGANIZATION	HOURS	NAME AND PHONE # OF SUPERVISOR	SERVICE YOU PERFORMED
1
2
3
4
5
6

Total Hours
Student Signature

Clear
Date

MonthDayYear
Date
Parent Signature

Clear
Date

MonthDayYear
Date
Submit service log to Mr. G in the Library by 5/1/2024. Incomplete or illegible logs will be returned to student
Should be Empty: