SERVICE HOURS REPORT

REPORT YOUR SERVICE HOURS HERE:

Please include an image of your experience serving others and/or environment down below if you would like to submit into our photo gallery.

Name *

First

Last

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Service Performed: *

Credit to an existing group: *

Total Service Hours by ALL Participants: *

Date when Service Hours were Done: *

Upload Image of Your Service Experience Here: *

Max file size: 20MB

Note: By recording service hours on this form, you affirm that the information you are reporting is true and conforms to the Service Commitment Guidelines.

COUNTING 75,000 SERVICE HOURS:

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Commitment Guidelines

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