Christian Institute of Arts & Sciences
6100-H West Fairfield Drive  * Pensacola, FL 32506  *  Fax 850-458-5132  *  Phone 850-457-4058
 
QUARTERLY COMMUNITY SERVICE 

& VOLUNTEER RECORD

  TIME

DATE

  ACTIVITY DESCRIPTION

 

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Total Hrs.  ____________________:______________               

 

I certify by my signature that the above hours of community service were completed as recorded.

Student's Signature ______________________________________ Date _________________________

Teacher's Signature ______________________________________ Date _________________________