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Volunteer Service/Paid Work Hours Signature Form

For Bright Futures

Student Name Graduation Year

Student Number High School Total Hours

Organization name:____________________________________________________

It is the responsibility of the student to keep an accurate record of the actual hours volunteered. A parent/guardian cannot
serve as the volunteer agency contact. All volunteer/paid work hour documentation MUST be submitted by your
school’s graduation date. Any hours submitted after graduation, even if earned prior to graduation, will not be
accepted.

I agree that I have completed the hours & have logged them in MobileServe.

Student Signature Date

Parent Signature Date

This form must be attached as a


photo each time hours are
submitted!

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