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American Cancer Society Community Service Hours Completion Form All American Cancer Society ACS college scholarship recipients are required to complete a minimum of 10 hours of community service with the ACS to renew their scholarship for the next academic year 2011-12. These hours can be completed in many ways Participate in your local Relay For Life or Making Strides Against Breast Cancer MSABC Walk join a team or start your own team Speak at an ACS event as a college scholarship recipient Volunteer to be an ACS R*O. C. K. Reaching Out to Cancer Kids Camp Counselor at Camp Boggy Creek Volunteer for Families R*O. C. K. Reaching Out to Cancer Kids Weekend Do office work / stuff envelopes at your local ACS Unit Office Many more opportunities Please contact your local American Cancer Society Office for details on how you can serve others in your community. Call 800-227-2345 or visit www. cancer. org to find the ACS office nearest you. This requirement can be waived for students in cancer treatment or with documented family hardships. After completing your volunteer hours please have an American Cancer Society staff sign this form* You should submit this form with your scholarship renewal paperwork which will be due April 11 2011. Describe ACS Volunteer Hours Served and Date Completed Number of Hours ACS Staff Signature with Title and Unit Name Total Hours Completed Name of College Scholarship Recipient please print Signature of Scholarship Recipient. These hours can be completed in many ways Participate in your local Relay For Life or Making Strides Against Breast Cancer MSABC Walk join a team or start your own team Speak at an ACS event as a college scholarship recipient Volunteer to be an ACS R*O. C. K. Reaching Out to Cancer Kids Camp Counselor at Camp Boggy Creek Volunteer for Families R*O. C. C. K. Reaching Out to Cancer Kids Camp Counselor at Camp Boggy Creek Volunteer for Families R*O. C. K. Reaching Out to Cancer Kids Weekend Do office work / stuff envelopes at your local ACS Unit Office Many more opportunities Please contact your local American Cancer Society Office for details on how you can serve others in your community. K. Reaching Out to Cancer Kids Weekend Do office work / stuff envelopes at your local ACS Unit Office Many more opportunities Please contact your local American Cancer Society Office for details on how you can serve others in your community. Call 800-227-2345 or visit www. cancer. org to find the ACS office nearest you. This requirement can be waived for students in cancer treatment or with documented family hardships. Call 800-227-2345 or visit www. cancer. org to find the ACS office nearest you. This requirement can be waived for students in cancer treatment or with documented family hardships. After completing your volunteer hours please have an American Cancer Society staff sign this form* You should submit this form with your scholarship renewal paperwork which will be due April 11 2011. After completing your volunteer hours please have an American Cancer Society staff sign this form* You should submit this form with your scholarship renewal paperwork which will be due April 11 2011. Describe ACS Volunteer Hours Served and Date Completed Number of Hours ACS Staff Signature with Title and Unit Name Total Hours Completed Name of College Scholarship Recipient please print Signature of Scholarship Recipient.

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