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 (for new members) or 10 hours (for continuing members) to the science department (5 Hours of which must be done prior to the ceremony), and will be present for the awards ceremony on Tuesday, November 27, 2007 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