LINCOLN BLOCK L SCHOOL SERVICE POINTS

I, ________________________, have completed my volunteer service so that I can earn points toward my Block L Award. I worked for one/two (circle one) weeks in______________________ room.

My responsibilities included doing: ___________________________________________________________ ___________________________________________________________ ___________________________________________________________ ___________________________________________________________.

Classroom Teacher’s Signature

Teachers, your signature verifies that the above student did fulfill a school weeks’ worth of volunteer time doing a service for you.

Signature of teacher(s) I have worked for:

1. _______________________________

2. _______________________________