Contract Form

Community Service Contract Form

Student Information

Current Grade: *

Select your current grade

First Name: *

Last Name: *

Email Address: *

Date Submitted: *

Dont forget the Year!

General Information

Service Organization / Agency / Event: *

Supervisor's Name: *

Address / Location where you served: *

Date Service Started: *

Date Service Ended: *

Times - Service Performed: *

How many TIMES between the beginning and ending date did you perform this service?

Total hours - Year: *

Total hours of Community Service for the Year

Total Hours - Org: *

How many TOTAL HOURS of Community Service did you complete for this organization?

Service Description: *

Please describe the type of volunteer services you performed (Be certain that the requirements for Community Service were met)

Why Chosen: *

Why did you choose to do this particular type of community service or volunteer work?

Skills Learned: *

What kinds of skills and talents did you learn or practice in doing this type of community service project

Christian Growth: *

In doing this volunteer service, how did the people / organization you served help you grow as a Christian person? (Please write about 50 words)

What code is in the image?: *

Copy the characters (respecting upper/lower case) from the image.

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