Community Service Form

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COMMUNITY SERVICE FORM
“ I tell you the truth, whatever you did for one of the least of these brothers of mine, you did it for me.” Jesus
STUDENT INFORMATION
Name____________________________________Bible Class__________________Period____________________
PROJECT INFORMATION
Name of Organization________________________________________________________________
Location________________________________________Type of Work_________________________________
Date of Actual Work_______________Time (start and finish_______________________________________
Hours @ School_____________Church___________Community_________________
All Students just do three hours per quarter. Juniors and Seniors are required to perform a
minimum of six hours outside of church and school per year.
Summarize your observations and your lessons learned from the work
performed.___________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
Signatures
Teacher Approval ______________________________________________________________________________
Supervising Person
________________________________________________________________________
Signature of Student____________________________________________________________________________

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