LOLHS Student Community Service Hours Submission

FL Statute 1009.534: "The student must identify a social or civic issue or a professional area that interests him or her, develop a plan for his or her personal involvement in addressing the issue or learning about the area, and, through papers or other presentations, evaluate and reflect upon his or her experience."

Today's Date Today's Date / MM / DD YYYY
Last Name
First Name
Student Number
What grade are you in?

What grade are you in? 9th grade 10th grade 11th grade 12th grade
Organization Name (where you completed community service)
Organization address/location
Contact person's name
Contact person's phone number Contact person's phone number - ### - ### ####
Explain your role, contribution, and/or responsibility with this service. Describe how you have contributed to your community and reflect on what you have learned by performing this service.
Date of Service Activity (If your service spanned multiple dates, please enter the most recent) Date of Service Activity (If your service spanned multiple dates, please enter the most recent) / MM / DD YYYY
Total Hours:
Upload verification of your community service
(Documentation log form with signature, statement from the organization on letterhead, timesheet showing hours)

Attach Files
By checking this box I affirm that the information provided is true, accurate, and fully reflects my hours of service and activities performed. Providing false information is a violation of the Pasco Schools Code of Student Conduct, and it could jeopardize my opportunity for admission to post-secondary institutions and receipt of Bright Futures or other scholarships.

By checking this box I affirm that the information provided is true, accurate, and fully reflects my hours of service and activities performed. Providing false information is a violation of the Pasco Schools Code of Student Conduct, and it could jeopardize my opportunity for admission to post-secondary institutions and receipt of Bright Futures or other scholarships. I affirm that the information submitted is true and accurate.