Lincoln Elementary Community Service Time Log
A detailed description of all Community Service hours logged is required before points will be awarded for the Community Service (Spirit) portion of the Block L Award. Please complete the time log below and transfer the “Number of Hours” from the “Totals” line to the other side of this form.

One form should be used for EACH organization you provided service to. You can get additional copies of this form from your classroom teacher.

_______________________________________________________

Name of Non-Profit Organization to Whom Service Was Provided

Date of Service
	Description of Community Provided
	Number of Hours

			

			

			

			

			

Total Number of Community Service Hours Provided:

Lincoln Elementary Community Service Verification Form

The student listed below is applying for Service Credit for Lincoln’s Block L Award. We are asking that the sponsor of advisor (non-family member) listed below verify the student’s completion of volunteer service hours as defined in the Block L Handbook. All service hours must be without compensation and must be provided to a “non-profit” group or organization.

Student Information:

Name of Student Performing Service: _____________________________________________

Teacher: ____________________________________________________________________

Total time volunteered during the school year (See back of this form): __________ Total Hours.

General Description of Community Service Provided:

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________ Student Signature

______________ Date

Sponsor/Advisor Information:

Name: ______________________________________________________________________

Position/Organization: __________________________________________________________

Contact Phone Number (For possible clarification/verification)___________________________

I verify that this student provided the Community Service as described (see back).

____________________________________________________ Sponsor/Advisor Signature

_______________ Date