New Jersey Future Business Leaders of America
Community Service Challenge! Chapter Community Service Hours Report Form Please return this form to the address below postmarked at the end of every month or faxed to (609)-298-3154. Chandler B. Bailey, NJ FBLA Community Service VP Northern Burlington County Regional High School 160 Mansfield Road East Columbus, NJ 08022
Example 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
Project Name
Date
March of Dimes Walk
9/18/10
Number of Students 15
Total Service Hours (From 10/21/10 to 2/04/11) Chapter Name ______________________________ Adviser’s Signature ____________________________
Length of Project 6 hrs.
Total Hours Served 90 hrs.