California Scholarship Federation Clovis Online High School – CHAPTER 1511C LOG OF VOLUNTEER HOURS

Kim Patterson 559-327-4413
kimberlypatterson@cusd.com

LAST NAME	     FIRST NAME	     STUDENT ID 	           GRADE	

DIRECTIONS: CSF membership for a given term is based on the grades earned from the previous term and at least 5 hours of community service. This log is not required if you have a letter on official stationery of the nonprofit organization signed by an authorized supervisor detailing your dates and hours of service during the semester as well as your duties for the organization. This log must be completed in full, for each volunteer location, or students will receive Inactive membership. This log and the CSF application must be submitted within each application cycle.

Organization Name	Supervisor’s Name & Title	Supervisor’s Email	Supervisor’s Phone #

Describe work performed:

DATE
	
TIME IN
	
TIME OUT
	
SUPERVISOR’S SIGNATURE
	
HOURS EARNED

					

					

					
					
	TOTAL HOURS

ACADEMICS | 06.19.19