Harborfields High School National Honor Society Required Tutoring Hours Please fill out this sheet after completing the required 5 hours of tutoring. Once the required five hours is fulfilled,please return this form to Caitlin Lyons or Katie O’Marra. Any additional tutoring hours may be used towards the quarterly community service requirement (10 hours). *Tutors – do not lose this sheet. Document will not be accepted without the signature of your tutee or his/ her parent or guardian.
Tutor: _________________________________________________________________
Subject(s): ______________________________________________________________
Date: ________________ Time: ________________ Hours: _________________
Date: ________________ Time: ________________ Hours: _________________
Date: ________________ Time: ________________ Hours: _________________
Date: ________________ Time: ________________ Hours: _________________
Date: ________________ Time: ________________ Hours: _________________
Date: ________________ Time: ________________ Hours: _________________
Date: ________________ Time: ________________ Hours: _________________
Date: ________________ Time: ________________ Hours: _________________
Date: ________________ Time: ________________ Hours: _________________
Date: ________________ Time: ________________ Hours: _________________
Total: __________________
Tutee’s Name: ___________________________________________________________
Tutee or Parent/ Guardian Signature: _________________________________________
Comments (Optional): ________________________________________________________________________________________________________________________________________________ |
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Name: ____________________________ Pd. 3 Teacher: _________________ Grade: ____________ 2010-2011 Quarter: ________
Harborfields NHS Community Service Voucher
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