NHS Service Hour Documentation Form
To maintain membership in NHS, you need to complete 20 hours of community service each school year. At least 10 of those hours must benefit the Lakeridge community. EXCEL tutoring hours are recorded elsewhere and do not need to be entered here.
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Your LAST Name *
Your FIRST name *
WHERE did you serve? *
WHEN did you serve? *
MM
/
DD
/
YYYY
HOW LONG did you serve? *
You may (only) count up to 6 hours for long-term service (such as Link Crew, Outdoor School, or a sport camp)
WHAT service did you do? *
Get specific! What role did you play? How exactly did you make an impact?
Give the name of a supervising adult for this service *
Some organizations (such as Habitat for Humanity or the Oregon Food Bank) may give you signed paperwork rather than providing a supervisor's name and contact information. If that is the case, please enter "I will submit the paperwork" in the response form for this question and the next one. Then give the paperwork to an NHS Advisor (Ms. Caron or Mrs. Chase)
Give contact information for the supervising adult *
email or phone number
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