On-Line Service Hour Sheet               Please print and submit as with all other service sheets
		I, ____________________________, have performed the services stated below.
	Community Service: _________hrs. (4 required) Description: ___________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ Signature of moderator: _________________________ Date:___________ In School Service: ________hrs. (4 required) Description: ___________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ Signature of moderator: _________________________ Date: ___________