Hamilton District Christian High School

Completion of Christian Service Opportunities

Student: ___________________________________ Date first enrolled at HDCH: _____________________________

Please submit this form when you have completed 40 hours of Christian service activities:

Activity

Number of Hours

Date of Completion

Location and Telephone Number

Supervisor’s Name and Signature

Total Number of Hours: _____________________

Signature of Student: _________________________________________________ Date: _______________________

Signature of Parent: __________________________________________________ Date: ________________________

Signature of School Official: ___________________________________________ Date: _______________________