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Service Program 20152016Student: Date(s) of this Service Project: Number of Hours of Service in this Project: Type of Service Work performed (Give a brief description of the service project, the number
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Dates of this service refer to the specific time frame during which a service is provided.
The individual or entity providing the service is required to file dates of this service.
Dates of this service can be filled out by indicating the start and end dates of the service period.
The purpose of dates of this service is to document when the service was provided.
Information such as the start and end dates of the service period, details of the service provided, and any relevant notes must be reported on dates of this service.
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