NYSSHS SERVICE LOG NAME: ____________________________________________ DATE DESCRIPTION OF SCIENCE SERVICE HOURS COMPLETED COR: __________ SIGNATURE OF TEACHER-IN-CHARGE NYSSHS ACCEPTANCE I, _______________________________ of cor ________ accept this honor of being a finalist in the NY State Science Honor Society. I will do 20 hours of service to the science department(10 for 2nd year seniors only), and will be present for the awards ceremony on Thursday, January 26, at 7 PM in the auditorium. __________________________________________ Signature of Candidate NYSSHS NON-ACCEPTANCE I, _______________________________ of cor ________ do not accept this honor of being a finalist in the NY State Science Honor Society. I do not wish to be considered further. __________________________________________ Signature of Candidate