Siren High School National Honor Society Service Project Reporting Form

I. A. Name(s) of Participant(s):_____________________________________________

_____________________________________________________________________

B. Date(s) of Project:__________________________________________________

II. Type of Project: ____Individual ____Group

III. Service Project Plan:

A. Please provide a brief description of your service project.

B. Materials/Support needed to complete your project.

IV. Evaluation: Please evaluate your service project using the Service Project Evaluation Guidelines. (use the back of this sheet if necessary)

V. Signature(s) of Participant(s)_______________________________________________________

Date Submitted__________________ Received by/date______________________