The TACAS Youth Community Service Record

 

Youth Name _________________________________________ Date of Birth_________

 

Home Address ___________________________________________________________

 

           Phone   _____________________ email address ___________________________

 

Volunteer Event  _________________________________________________________

 

Organization _____________________________________________________________

 

       Address _____________________________________________________________

 

       Contact person and phone _______________________________________________

 

Event location ___________________________________________________________

 

      Date/Time ________________________________________

 

Work description _________________________________________________________

           

                    ______________________________________________________________

 

                    ______________________________________________________________

 

                    ______________________________________________________________

         

Hours worked _______________________________

 

Event Organizer or Supervisor _________________________________ phone ________

 

                                 Signature _______________________________________________    

 

 

Youth signature ________________________________________ Date _____________