Name _________________________________ Period ______

PAF 101

Ms. Bonventre

COMMUNITY SERVICE

1. A requirement of the course is 5 hours of community service. You cannot be paid for your service. Your community service must take place this semester. This form is due June 1.

2. Describe your service:

    

    

    

    

    

    

    

    

    

3. Signature of service supervisor ( or explanation of why it is impossible to get)

    

    

4. Write a reflection on your service and the connection between community service and citizenship: