Cardinal Wuerl North Catholic High School Service Hours Form -- This form is to be used for pre-approved projects ONLY. PLEASE PRINT CLEARLY Line . ay ae PRINT Student's Last Name, Student's Retigion Techer_ WC. Pranocys? Cass of ZOU! St Edel 129 Qureceve BA. Meridian PA Address: \woo\ ‘Name of Service Organization £4 's oly 4 faa serving atthe above named site, Service project start date: \(Q)/_\_/ 204 End date 1Q/\_/20!7 Briefly describe the type of service you will perform: IWOCKLAAG, OBOCS\G creak CNing doe queves drinks ond cleFiainy tale 7 To be completed by an adult - not related to the student-- who is employed, or appointed, to supervise volunteers or a particular service project with the service organization listed on this form. Total number of hours completed by student _4{ Evaluation of student's service (circle one): Good Improvement-needed Chris Willams Dicecto of pedt Setvices Supervisor's Tih ‘Adult Supervisor's Name (Please print) Lie Whlawg Supervisor's signature 7d - 5 A- 0 : y LEA- AG? ~ / 0/17 Briefly describe the type of service you will perform: oO € Kids Oo! tip cacy a — To be completed by an adult not related to the student who is employed, or appointed, o supervise volunteers ora particular service project with the service organization listed on this form. Total number of hours completed by student Evaluation of student's service (circle one): Good Improvement-needed \ Hayley Valyo fssistont Directs OF Curculun- 4 ervisor’$ Name (Please print CRED anternahonal Supervisor's Signature Ya. Glu §0%S \walyo(@), leads ora Supervisor's Phone number and extension* ‘Supervisor's email® J Phone and email adres shouldbe associated with the service organization, and not personal. These will only be used to contact yout verify hous. Ty wil ot be vse in any oter manne, ‘Supervisor's comments: (Optional; use back, if needed) 2017-2018 school year Please direct any questions to your religion teacher or Mr. Amorso at vamoraso@ewnchs.orgCardinal Wuerl North Catholic High School Service Hours Form — "Tat pm pk ONLY. not ocr —— ifealey Student's Retigion Teacher Mr, AmorusQ Chass of, oe fEadecs Now, Intecnshona\ _ of Service Organization ‘Adress = at : PA. Ipowe xbphleiy Lot Service project stan date: J) 2) |S End date 2/19 Briefly describe the type of service you wil perform: Baked coorakes/@y donated fupcakes foc UN\ fund caisec To be completed by an adult ~ not related tothe student who is employed, or appointed, to supervise volunteers or a particular service project with the service organization listed on this form. Total number of hours completed by student Evaluation of student's service (circle one): Improvement-needed rector. OF Haytey Va lyo Assert Director OF Corrido Supervisor's Title Leaclas Mow Dat orationa | : ula - (plo - ¥04% Waly @ [eadus Now - or ‘Supervisor's Phone number and extension® Supervisor's email ‘Phone number and email adres shouldbe associated with he service rganizaton, and not eronl. These wl only be wa to contact yout verify a. Tey will at be sed in anyother manne. Supervisor's comments: (Optional; use back, if needed) 2017-2018 school year *+Please direct any questions to your religion teacher or Mr. Amoruso al vamnoruso@ewnchs.org