Teen Court
| City of Holland | Holland,
Michigan 270 South River Avenue |
| COMMUNITY
SERVICE WORK LOG
Community Service Location: __________________________
Participant’s Name: __________________________________
Community Service Due Date: __________________________
Signature
Date Project Hours of Supervisor
___________ _______________________ ______ ________________
___________ _______________________ ______ ________________
___________ _______________________ ______ ________________
___________ _______________________ ______ ________________
___________ _______________________ ______ ________________
___________ _______________________ ______ ________________
___________ _______________________ ______ ________________
___________ _______________________ ______ ________________
Total Hours: ______
Supervisor's Comments: Supervisor's Signature: ____________________ Date: _______________ Participant's Signature ____________________ Date: _______________ |
|
It is the participant's responsibility
to get this work log to Teen Court. |