Community Service Summary Sheet

							Community Service Summary Sheet
_________________________                   ______________________        This sheet stays in your possession until you meet
Name                                        Counselor                     with your counselor third quarter of your senior
                                                                          year, SO DON’T LOSE IT! It must be completely
________________                            ______________________        filled out prior to your meeting time. 80 hours are
ID number                                   Date of meeting               required to satisfy all of the Woodrow Wilson
                                                                          Scholars Programs.
Class of: __________                        ______________________
                                            Counselor Signature


Date(s)   Organization   Contact Person      Contact Signature   Contact’s phone    Description of Activity      Total Hours
                         (Name and Title)    (required)          (required)
Date(s)   Organization   Contact Person     Contact Signature   Contact’s phone   Description of Activity
                         (Name and Title)   (required)          (required)