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NHS_hours

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									   NHS Community Service Hours            NHS Community Service Hours
          Report Form                            Report Form

NHS Member: ____________________       NHS Member: ____________________

Hours served: _______                  Hours served: _______

Community Service Activity: ________   Community Service Activity: ________




Adult Sponsor: ____________________    Adult Sponsor: ____________________

Sponsor’s Ph #: ___________________    Sponsor’s Ph #: ___________________

NHS Sponsor approval: _____________    NHS Sponsor approval: _____________

**No more than 4 hours per activity    **No more than 4 hours per activity




   NHS Community Service Hours            NHS Community Service Hours
          Report Form                            Report Form

NHS Member: ____________________       NHS Member: ____________________

Hours served: _______                  Hours served: _______

Community Service Activity: ________   Community Service Activity: ________




Adult Sponsor: ____________________    Adult Sponsor: ____________________

Sponsor’s Ph #: ___________________    Sponsor’s Ph #: ___________________

NHS Sponsor approval: _____________    NHS Sponsor approval: _____________

**No more than 4 hours per activity    **No more than 4 hours per activity

								
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