NYSSHS SERVICE LOG

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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
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