Service Report
Service Report
Service Report
Student: ________________________________________________________
Use this sheet to record your 10 hours of service each for your church, outreach, and
community. The first 10 hours are due December 3
rd
, 20 hours are due by January 28
th
, and
all 30+ are due March 11
th
. You must have at least 10 hours in each area. Service for family
members does not count.
Description of Service Date Hours
Spent
Church
Outreach or
Community
?
Verified By:
(Adult
Signature)
Description of Service Date Hours
Spent
Church
Outreach or
Community
?
Verified By:
(Adult
Signature)
Total Hours Completed: ________
Church-Related: _______ Student Signature: ___________________
Outreach-Related: ______
Community-Related: _______ Parent Signature: ____________________