Builder’s Club Hours

Mariemont Elementary School

2008-2009

 

Student’s Name___________________________________________________________

Homeroom __________________

 

The activity to which you gave service:

__________________________________

_________________________________________________

_____________________________________________________________

 

Date I performed this service:________________________________________________

 

Number of hours I volunteered (to the closest ¼ hour):____________________________

 

Describe in detail duties performed to earn your service hours:

______________________________________________________________

___________________________________________________________________

______________________________________________________________________

_________________________________________________________________________________________

 

Adult Supervisor _________________________________

 

Title: ___________________________________________

 

Phone: _________________________________________