BADIN NEWS AND VIEWS - Stephen T. Badin High School

2013 - 2014
Christian Service Report
STEPHEN T. BADIN HIGH SCHOOL
571 New London Road, Hamilton, Ohio 45013
Phone: 513-863-3993
Fax: 513-785-2844
Name of student:_________________________________
Current Grade:__________
Name of Student’s Religion Teacher:___________________ Class Period: ___________
(Evaluator, please fill in ALL BOLD sections of this form)
Name & Address of Organization:_______________________________________________
Name & Title of Evaluator (please print): _______________________________________
Signature of Evaluator:_______________________________
Date:________________
Evaluator Contact Info: Phone:________________
Email:________________________
Brief Description of Service Performed (to be completed by evaluator): _______________
____________________________________________________________________________
____________________________________________________________________________
• Service completed for _____ Badin _____ Parish _____ Non-Profit _____
Other
• Number of Service Hours Completed by Student: __________
• Starting Date of Service: __________ Completion Date:__________
3-5 sentences explaining how you feel YOU MADE A DIFFERENCE through this service
experience (to be completed by student):___________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
If this form has to be mailed, the student should provide a self-addressed, stamped envelope.
Marked ATTN: Mrs. Allen.
All forms…hand delivered & mailed are to be given directly to Mrs. Helms or Mrs. Megan Allen.
Thank you for making a service opportunity available to this young person. Your generosity is very much
appreciated! Gratefully, Mrs. Megan Allen– Christian Service Coordinator