Document 17616112

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RVHS Interact Club
Hours Tracking Sheet
Student Name:
Quarter
Hours Served Not as Official Interact Projects
Date
Project/Description of Activity
Adult Supervisor
Adult* Contact Number
Hours
Initials or Email*
SUBTOTAL Hours
*By initialing you are verifying the volunteer hours performed by the student. Please provide a contact number so that
the sponsors of the RVHS Interact Club may contact you to certify the student’s hours. Thank you.
I certify that all hours reported here are hours I served.
Student Signature:
Date:
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