Thank you for providing a service opportunity for our students. Our goal is to further spiritual growth and develop students with a heart for ministry. Christian service has as its inspiration the life and teaching of Jesus Christ. Your cooperation with our school in this endeavor is greatly appreciated. Please fill out the information in this form and either return to the school or to the student. (5/6th need 10 hours, 7/8th need 20 hours. 50% may be summer hours, 50% may be Center related.)

Student: Agency or work site:

Date Served:___________________________ Phone:__________________________________

Hours served: Signature:

Duties:

Supervisor’s comments:

Student Comments and Evaluation of Service Project:

Please reflect on what you have discovered about yourself and others through this service effort.

Sharon Pasquarette-MS Project Coordinator 

2166 Indian Head Road

Champion, PA 15622