Falls Lake Academy - Student Volunteer Hours

One form per student, please. NOTE: There is a separate form for parent hours. Please see our website for that link.

* Indicates required question

1.     Name of Student *

2.     Grade of Student *

3.     Student email address

4.     Student ID Number (can be found in Jupiter under Settings) *

Service Description

Service Hour Requirements:

K-2: 5 hours

3-5: 7 hours

6-12: 10 hours

*Honor Society Students must complete an additional 5 hours.

5.     Date of Service *

The window of service is from June 1 - May 31st of this school year. Make sure you put in the correct day and year. Do not enter service for days in the future. Put in your service hours after the sevice has been completed.

Example: 1/7/2019

6.     Hours *

If the time exceeds 24 hours, do two separate entries and break the time so that neither time is more than 24 hours.

hours,

minutes

Example: 4:03:32 (4 hours, 3 minutes, 32 seconds)

7.     Service Description *

8.     Category of Service

Check all that apply

9.     Where did you volunteer?

10.     Adult Witness

11.     Email or phone number for adult witness

12.    Confirmation Email

A confirmation of these hours will be sent to you at the following email address if provided.