COMMUNITY SERVICE

INFORMATION AND LOG SHEET

NAME:                                                                                             

TEAM:                                                                                             

DATE SERVICE WAS PERFORMED:                                            

NUMBER OF HOURS COMPLETED:                                             

BRIEF DESCRIPTION OF SERVICE PERFORMED:                                                                                                                                                                                                                                                                                                                         

By signing this form I verify that what is on this form is correct.

______________________             __________________

Student-Athletes Signature                     Supervisor of

                                                            Community Service