Request edit access
2019 Post Event Log
Thank you for leading a service event with Local Impact at Mosaic
If you are having difficulties with this form email
localimpact@mosaicchristian.org
* Required
Email address
*
Date of Project
*
If project lasted multiple days please submit a project log for each day
MM
/
DD
/
YYYY
Partnership/Organization Name
*
If project lasted multiple days please submit a project log for each day
Choose
TSW - The Smaritian Women
RICA - Regional Institue for Children and Adolescents
TPC - The Pregnancy Clinic
TCH - The Children's Home
MCCS - Mount Clare Christian School
Ten Twelve Sports - 10:12
Other
If you selected other please list the name of the organization
Event Name
*
Your Name/Host
*
If project lasted multiple days please submit a project log for each day
Total Number of Volunteers
*
include yourself as well as any children attending the event, even if volunteers are not regular mosaic attenders
Total Number of hours served ( please input a whole number)
*
Example if your event was from 1:00pm - 3:00pm you would simply enter the number 2 (for total hours served)
Describe your event and the impact that was made.
Share any cool stories from your event.
Was this a growth group service event?
*
Yes
No
If you have photos you like to share you can upload them here
or email them to Heart at
localimpact@mosaicchristian.org
Add file
Submit
Never submit passwords through Google Forms.
This form was created inside of Mosaic Christian Church. -
Terms of Service
Forms