Official Service Record & Scholarship Documentation
📋 Scholarship Eligible
This form serves as an official record of volunteer service hours. Completed logs are maintained on file and may be used to support scholarship applications, school service requirements, and award nominations.
1 Organization Information
2 Student Information
3 Parent / Guardian
4 Volunteer Hours Log
📝 Activity Key
A Homework AssistanceB MentoringC Reading to a ChildD Classroom SupportE Event Setup / CleanupF Arts & Crafts LeaderG Lunch / Snack ServiceH Front Desk / Check-InI Sports / RecreationJ Technology HelpK Field Trip ChaperoneL Community OutreachO Other (write in)
#
Date
Time In
Time Out
Hours
Activity / Task Description
Supervisor Initials
Total Hours This Page
5 Scholarship Hour Milestones
Cumulative Hours Earned
Check off milestones as the student reaches them