Indian Springs Middle School
National Junior Honor Society
2016-2017
NJHS Service Hour Documentation
Student Name: _____________________________________________
Flight Teacher and Period ______________________________________________________________
Service
Date
Organization &
Description of Service
Supervisor Signature and
Contact Information
Number of
Service
Minutes/Hours
Completed
In-school service time on this form _________
Out-of-school service time on this form _________
Service time TOTAL on this form _________
Please make a copy to keep for your records!
Fall Service Hours due by Thursday, Jan. 12, 2017