Ashe County High School
Community Service

Name____________________________

Date

Location of Service/Business

Hours of Service

Supervisor's Signature

Recorded Date/Teacher

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Turn this form into Mrs. Grubb after each 5 hours worked.
30 hours of community service prior to graduation required.