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ST. ANNE SCHOOL
2011/2012 Service Hours Form
1st Trimester report - Due December 9, 2011
2nd Trimester report - Due March 23, 2012
3rd Trimester report Due May 25, 2012 ($50.00 late fee assessed for reports received after May 25, 2012)
You may project out hours you intend to work later than May 25, 2012.
Parent Name(s)
Student Name(s) & grade:
Date
Service Activity ChurchNumber of Hours
Date
Service Activity - SchoolNumber of Hours
Date
Service Activity - AuctionNumber of Hours
TOTAL HOURS THIS REPORT
Each K 8 family is required to complete 30 hours of service to the school or the parish. Single-parent families must each complete 15 service hours if both parents actively participate in the school life of their child(ren). Of these hours, six (6) must be spent working on the Auction. It is important that you return your completed forms by the date they are due.
In lieu of service hours, the cash equivalent for regular service hours is $10 per hour and $25 per hour for Auction hours. The total cash equivalent is $390 per family or $240 per single parent.
I will be unable to fulfill the required service hours for this year. I am electing to make a payment of $25.00 for auction hours and $10.00 for all other hours.
TOTAL AMOUNT PAID
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