Name: ___________________
National Honor Society
Community Service Log
2015-2016
Approved Community Service
(Please circle the item you completed and
write a description of your service)
PAWS
Date
Number of
Hours
Signature
Must be an adult – No Students – Would
prefer no parents sign – see Mr. Beben for
special circumstances
Printed Name:
Signature:
Title:
Contact Number:
A5 Elementary Schools Fall Festivals
Printed Name:
Tutoring at A5 Elementary Schools
Signature:
Title:
Contact Number:
Nursing Home / Hospital
Printed Name:
Signature:
LOT Project / Soup Kitchen / Good
Neighbor Cupboard
Anderson County Library
Title:
Contact Number:
Printed Name:
Signature:
Goodwill / Salvation Army
Title:
Contact Number:
*If an item is not on this list, it must be approved by the National Honor Society club sponsors.