1. Total Hours Served _________
Due
9.8
Name:
*Please turn form into your religion teacher!
Date
Description of Service Activity
(describe the kind of service you performed)
Time Served
(hours/minutes)
Who benefited from your service?
(circle one)
Example:
8.19
Worked one shift at the SMS Bingo tent.
2 hours
Community Church School
Total Hours Served _________
*12 hours due each trimester. You can earn 5 bonus points per hour up to 12 additional hours each trimester (60 points).
I believe that the hours and efforts listed and described above are an honest and accurate record of service.
______________________________________________ ______________________________________________
Signature of parent or guardian Signature of student