Intent to Serve Form
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"Intent to Serve" forms should be submitted for any service that is not listed as "pre-approved" on the OLGCHS Service webpage. If opportunities have not been approved before they are performed, hours may not be accepted for credit. Once an "Intent to Serve" form has been submitted, someone will respond to your request for approval within one week. To complete the following, copy and paste the following text into a Word document and e-mail to service@olgchs.org. OUR LADY OF GOOD COUNSEL HIGH SCHOOL XAVERIAN COMMUNITY SERVICE INTENT TO SERVE FORM 2007-2008 NAME: _______________________________________________________ DATE OF REQUEST FOR APPROVAL: __________________________ STUDENT ID: ____________ GRADE: ________ COMMUNITY: ____________________________ ORGANIZATION TO BE SERVED: _____________________________________________________________ ORGANIZATION CONTACT NAME: ___________________________________________________________ ORGANIZATION CONTACT PHONE NUMBER: ________________________________________________ WHEN DO YOU PLAN ON COMPLETING THIS SERVICE: _______________________________________ WHAT WILL YOUR RESPONSIBILITIES BE? _____________________________________________________________________________________________ _____________________________________________________________________________________________ WHY DOES THIS ORGANIZATION NEED YOUR SERVICE? _____________________________________________________________________________________________ _____________________________________________________________________________________________ JRS & SRS: HOW DOES THIS ORGANIZATION SERVE THE POOR & MARGINALIZED _____________________________________________________________________________________________ _____________________________________________________________________________
PARENT’S SIGNATURE: ____________________________________________________________________ -------------------------------------------------------------------------------------------------------------------- (Please complete the following information if you are submitting a paper copy. You do not need to fill this out if you submitting this via e-mail.) Student Name: _____________________________ Community: _______________________ Service Organization: ______________________________ Date Submitted: _____________
Please return this form to the Campus Ministry Office or to service@olgchs.org |
Last updated September 5, 2007For information on the Campus Ministry Department go to
http://TeacherWeb.com/MD/GoodCounsel/CampusMinistry |