Archbishop McNicholas High School Campus Ministry Services

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COMMUNITY SERVICE FORM
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Name ______________________________

Yr. Of Graduation __________
 

Total Number of Hours ___________

FRESHMAN / SOPHOMORE YR.

Agency Date Service Performed  Supervisor Signature  # Hrs.
         
         
         
         
         
         
         
         
         
         
         
         

NUMBER OF HOURS COMPLETED =

 

JUNIOR / SENIOR YR.
Agency Date Service Performed Supervisor Signature # Hrs.
         
         
         
         
         
         
         
         
         
         
         
         

NUMBER OF HOURS COMPLETED =

  

* SOPHOMORE YR.) AND (1ST QUARTER SENIOR YR.) SO THAT THE COMMUNITY SERVICE COORDINATOR CAN RECORD THE INFORMATION ACCURATELY. RECORDS. YOU ARE RESPONSIBLE FOR THIS PAPER. IT MUST BE REVIEWED WITH THE COMMUNITY SERVICE COORDINATOR PERIODICALLY.