Performance of Community Service Hours:

From: Date:

To: S-3, Monarch H.S. JROTC

1. The following cadets performed Community Service hours in support of Monarch High School or the Monarch JROTC Program as indicated below:

Cadet: Unit/Sec: Hours: Community Service Performed:

Recommended By: Approved By: ______________________________

Duty Position: SAI or AI: _______________

Date Submitted: Date Approved: _______________

Record of Community Service Performed (1 Aug 04)