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Volunteer Service Form


Name: __________________________________________________     ID#: _____________________

Date:________________________________                  Grade: ______________________________


IRVING ISD VERIFICATION OF VOLUNTEER  SERVICE

 Special recognition will be given to IISD graduates accumulating one hundred (100) hours or more of volunteer service during grades 9 – 12.  Volunteer service is defined as “voluntary activity undertaken to improve the quality of life for citizens in the community where no payment is received”.  Community service performed as a consequence of inappropriate behavior (for a ticket, part of probation, etc…) is not eligible for consideration.  Other types of service that are not eligible are:  service to those within your household, family, or friends, and office aides or students that volunteer during required class periods. An ongoing ministry at your place of worship (choir, praise band, teaching Sunday School) does not count; however, ministry with a definite beginning and ending date does count (Vacation bible School, mission trips). Hours served for fundraising events may be counted for non-profit organizations.  Students who wish to be recognized for volunteer service at graduation and/or award assemblies, must turn in this signed verification form for each completed volunteer service project.  Each student’s records will be verified.  A student submitting any false information will be ineligible for recognition. 

Hours must be turned in each school year by the last day of school.  Hours from the previous school year will not be accepted.  Summer hours count towards the next school year.  To be recognized in the Award Assemblies, hours must be turned in by early March.  For seniors to wear the green cord at graduation, hours must be turned in by mid April.  Volunteer hours turned in after the deadlines WILL NOT be accepted.  Please listen to announcements, read the senior newsletters, or come by the Counseling Office for exact dates.

 1.      Give a brief description of your volunteer service project or activity, including the need or purpose of the project:

  

  

 

2.      Date(s) of service for this project:  ________________________________________

 3.      Total time served for this project is _______________ hours (use decimal for partial hour)

 4.      Signature of supervising teacher or adult ___________________________________
         
(not a parent or family member)

 Phone #:  ___________________________

Date signed:  ________________________

 5.      Signature of parent/guardian _____________________________________________