Service Form
Name
Your answer
Graduation Year
Your answer
Email Address
Your answer
Date(s) of Service
MM
/
DD
/
YYYY
Place of Service
Your answer
Hours Completed
Your answer
Description of Service Experience
Your answer
Name of Supervisior
Your answer
Did you complete these service hours with another LC student?
Other LC student name
Your answer
Phone Number of Supervisor
Your answer
What did you enjoy most about the experience? Would you do it again?
Your answer
How does your service project reflect Catholic Social Teaching Principles? (Name at least 2 principles in direct relation to your service experience-see below for listing).
Your answer
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This form was created inside of Lake Catholic High School.