Student Service Learning - Parent Verification

Top ½ due Aug 22nd: 

I have read and understand the attached information regarding my son/daughter participating in the Student Service Learning portion of the Civics Course.

Parent Signature:_____________________________________________________________________

Date:____________________

I have read and understand the requirements for the Student Service Learning portion of the Civics Course and understand that if I choose not to participate, that I will inform the teacher no later than September 1st in writing and will agree to complete the assigned alternative in-depth Research Analysis Projects in lieu of the Student Service Learning hours for each nine weeks.

Student Signature:___________________________________________________________________

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       Student Service Learning - Contact to Organization

Date:___________________                                                                   ______  9-weeks

Bottom ½ due Sept 04:

Student Name:_______________________________________________________________________ Period:__________________

Place Service Learning will be completed:______________________________________________

Contact Name (volunteer supervisor):__________________________________________________

Contact Phone Number:______________________________________________________________

What type of work will be completed:_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Parent Signature:_____________________________________________________________________