Community Connections: 30 hours Work and/or Volunteer

Experience
Name:

Date:

Work Experience
Employer:________________________________________________ Hours completed___________________
Employers Phone Number:__
Work Site Supervisor:_______________________________________
Supervisor Signature:_______________________________________
Volunteer Experience
Organization:______________________________________________ Hours completed___________________
Event Supervisor:___________________________________________
Supervisors Phone Number:__________________________________
Supervisor Signature:________________________________________

Attach appropriate documentation indicating number of hours (pay stub, reference

letter, or volunteer certificate). Scan and upload to GT portal or take to your GT teacher.
The 30 hours must be completed under supervision. Unsupervised activities or those
supervised by a parent do not qualify to meet this requirement. Volunteer service
performed at school or in the community qualifies.
___________________________________
Student Signature

___________________________________
Parent Signature

_______________________________________________

Grad Transitions Teacher