Service Learning Reflection for Ms. O'Brien's class
Please enter the required information below to document the completion of service hours for your service hours requirement. The required number of hours are 15 hours for eighth grade students - 5 of which must be completed outside of the Waukesha Catholic community.

Students may complete up to 1/2 of their service hours over the summer.

Student Name *
Your answer
Date of Service *
MM
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DD
/
YYYY
Number of Service Hours *
Your answer
What is the name of the person who supervised the service activity? *
Your answer
What is the phone number of supervisor of the service activity? *
Your answer
The service activity was: *
Briefly describe the service activity. *
Your answer
What did you observe or learn from this service activity? (Minimum One Paragraph) *
Your answer
Describe any benefit or impact of your work on others as well as yourself. (Minimum One Paragraph) *
Your answer
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