Christian Service 2009-10
Name _______________________________________
Period______________
Site Name________________________________
Site Supervisor Name________________________________
Have you begun your Christian Service as of yesterday, 9/15/09?
Please Circle:
YES
NO
If YES, on what date did you serve? ___________
I attest that all of the information provided above is correct and true. I understand that if I have not
begun my service as of today it is 5 points off my first homework of the 1st quarter. I also understand
that if I have been untruthful about the beginning date of my Christian Service and that is found out,
that I will receive a 0 for my 1st quarter service grade which accounts
for 50% of my final 1st quarter grade.
Signed__________________________________
Date____________________________