Community Service Verification Form



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Community Service Verification Form


USE A SEPARATE FORM FOR EACH EVENT

Name: _____________________________________________________


Phone: ________________________ Total Hours: _______________
Email Address: ______________________________________________
Community Site: _____________________________________________
Contact & Phone: ____________________________________________


Document All Hours





DATE

ACTIVITY

HOURS

SIGNATURE

















































































































































FOR INFORMATION REGARDING THIS FORM, CONTACT:


Linda Mejia, Executive Director

31525 Jedediah Smith Road

Temecula, CA 92592

(951)775-5163 or (951)4-JACOBS


July 2013




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