Service Program FormPrince of Peace Christian School
*Form must be filled out by the adult supervisor*
Name of Volunteer: _____________________________________________
Organization at which service was done: _____________________________________________________________
Address and Phone Number of Organization: _____________________________________________________________
Describe and briefly evaluate the service: ______________________________________________________________ ______________________________________________________________ ______________________________________________________________
Number of hours completed: ______________________________
Adult Supervisor (Print) : ________________________________________
Date ________________
Signature:________________________________________
Date ________________
“Each one should use whatever gift he has received to serve others, faithfully administering God’s grace in various forms.” 1 Peter 4:10
