Today's Choice for Tomorrow's Future

NHS Service Project Permission Form

National Honor Society

East Ridge High School 2019-2020

Individual Community Service Project

Permission Form

 

Member Name

 

 

 

Name of Project

 

 

 

Describe the NEED for this project.

 

 

 

Describe the NATURE of this project.

 

 

 

Describe the INTENDED RECIPIENTS of your service.

 

 

 

 

WHEN _______ WHERE ______ and HOW LONG ______ will you provide this service?

 

PERMISSION to provide service (TO BE FILLED OUT BY RECIPIENT)

I confirm that ______________________ will be providing the following service: __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Name: ________________________ Title/Position: ____________________________________

Company/Organization:_____________________ Email/Phone:__________________________

 

Recipient Signature Approval:

______________________________________________________________

 

Club Sponsor Signature Approval:

______________________________________________________________