Eastern Greene High School s1

Individual Service Project Proposal Thunderbird Honor Society Eastern Greene High School

Honor Student’s Name

Summary of Project and Explanation of Student Participation

expected number of hours to serve______

Expected Community Benefit

Name of Adult to Verify

Site Address

Site Phone Number

Date of Activity

This form will not be considered until all signatures are recorded on the second page. Signatures:

I, ______parent/guardian of ______, give permission for my child to complete this individual service project for Eastern Greene High School’s Thunderbird Honor Society. I understand that the advisers will not be at the project site and that my child and I are responsible for transportation to and from the project site. I waive on behalf of myself and the above named child any liability of Eastern Greene Schools, any of its agents or employees, and of the owners at the project site, arising out of any medical issues during this project.

______Parent/Guardian Signature Date

______THS Member Signature Date

THS Advisers: Lori Vandeventer and Amy Frank

Approved by ______on______