Central Catholic High School Service Verification and Evaluation

Student Name__________________________        Grade________

Religion Teacher__________________________

*Prior to completing service hours, you must gain approval of the service from your religion teacher.  This will ensure those service hours will be counted toward your service requirement.  

ServiceProposal:________________________________________________________

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Approval Signature of Religion Teacher_________________________

Date of Approval________________________

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This Portion is to be filled out by the Outreach Supervisor only

For the Outreach Supervisor: Central Catholic High School Students are required to earn service hours each year.  Our goal is to enlighten our students, making them aware of the needs of the Church and outside community, guiding them to discover their own spiritual gifts.  Your honest evaluation helps us to verify their service, making this a successful endeavor.

Name of Organization/Parish___________________________________________

Quality of service: (was the student on time, pleasant, obedient, attentive?)

Circle one:

Excellent                Good                Fair                Poor

Number of Hours___________

Brief Description of service performed:____________________________________________________________

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Additional Comments:____________________________________________________________

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Signature of Supervisor:__________________________ Date:____________________

**If you have any questions or concerns, please contact Christine Kuhns, Campus Minister at 304-233-1660 EXT 6247.  

For the Student: Please complete this portion and turn this form in to your service leader the next school day after your service.  This form must be completely filled out and turned in to your Religion Classroom folder for you to get credit for the service hours completed.

This portion is to be filled out by the student only

Briefly describe the service completed.

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How was this service meaningful to you?

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How was this service meaningful to those that your service helped?

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What did you discover about yourself?

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How did you find God in this service?

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