2014-15Christian Service Course: Service Site Contract

Please complete the form and hand in at the Christian Service Info session on either April 9 (2:50pm) or 10 (7:45am) 2014 in W200.

A) I ______commit myself to serve at ______for a

(Student Name) (Service Site)

minimum of 2 hours each week.

* I will have begun volunteering at my site before my first Christian Service class meets in September 2014. I will volunteer each week through the last cycle of classes in 2015. I understand that if my site is closed, I need to make up the hours for that service session. I understand that the 2 hours I serve in the community is EQUIVALENT to being in class.

* I understand that as per the Parent Letter, that if this contract is notcompleted/signed and turned in on time I will lose5 points off my 1st Quarter final grade.

* I understand that if I have not begun my service by the first class meeting, that I will lose 5 points off my first homework assignment AND first service log sheet. I realize the importance of making this commitment a priority over all other extracurricular activities and I will make all the necessary arrangements to ensure that the people I serve receive all of my attention and energy. I will also offer support to my classmates through my participation in the classroom.

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Student Signature
______
Student Email Address (please write legibly)

B) The student named above has been accepted as a volunteer who will serve weekly at the site listed below. The agency agrees to guide and supervise the student and evaluate the student’s contribution throughout the school year.

Supervisor’s Name______

Agency______

Agency Address______

Supervisor Phone #______Agency Fax # ______Email______

______

Site Supervisor Signature and Date

C) My son/daughter has my permission and support to serve at the placement described above and I have read and understand the contract above.

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Parent/Guardian Signature and Date