Builder’s Club Hours

Mariemont Elementary School

Student’s Name___________________________________________________________

Homeroom Teacher________________________________________________________

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: _________________________________________