Auburn Junior High School

National Junior Honor Society

Service Hours

In order to maintain your membership in the AJHS Honor Society, you must complete a minimum of five service hours per semester. Please note that tutoring of other students may be used for a maximum of three service hours per semester. You may also earn up to three hours per term by donating canned goods to the Food Bank (cans should be taken directly to the Food Bank). Five cans equal one hour.

Name _________________________________ Term: Fall Spring (circle one) Year _________

________ hours (number) Date ________________________________

Service rendered _______________________________________________________________________

Adult to contact for verification, and phone number ____________________________________________

________ hours (number) Date ________________________________

Service rendered _______________________________________________________________________

Adult to contact for verification, and phone number ____________________________________________

________ hours (number) Date ________________________________

Service rendered _______________________________________________________________________

Adult to contact for verification, and phone number ____________________________________________

________ hours (number) Date ________________________________

Service rendered _______________________________________________________________________

Adult to contact for verification, and phone number ____________________________________________

________ hours (number) Date ________________________________

Service rendered _______________________________________________________________________

Adult to contact for verification, and phone number ____________________________________________

Name _________________________________ Term: Fall Spring (circle one) Year ________

________ hours (number) Date ________________________________

Service rendered _______________________________________________________________________

Adult to contact for verification, and phone number ____________________________________________

________ hours (number) Date ________________________________

Service rendered _______________________________________________________________________

Adult to contact for verification, and phone number ____________________________________________

________ hours (number) Date ________________________________

Service rendered _______________________________________________________________________

Adult to contact for verification, and phone number ____________________________________________

________ hours (number) Date ________________________________

Service rendered _______________________________________________________________________

Adult to contact for verification, and phone number ____________________________________________

________ hours (number) Date ________________________________

Service rendered _______________________________________________________________________

Adult to contact for verification, and phone number ____________________________________________

________ hours (number) Date ________________________________

Service rendered _______________________________________________________________________

Adult to contact for verification, and phone number ____________________________________________

________ hours (number) Date ________________________________

Service rendered _______________________________________________________________________

Adult to contact for verification, and phone number ____________________________________________