2024-2025 Confirmation Service Verification

Confirmation Service Verification

2024-2025 | St. Alphonsus Rodriguez Church
Candidate Name*

First NameLast Name
Email Address (For a copy of this submission to be sent to.)*
example@example.com
Service Event Completed*

Long-term service opportunity with St. AlphonsusShort-term/single day service opportunity with St. AlphonsusService opportunity completed with a parentService opportunity completed with an outside organization
Name of Opportunity or Event*
Organization or person for whom service is being performed*
Name of Volunteer Supervisor*

First NameLast Name
Email of Volunteer Supervisor*
example@example.com
Phone Number of Volunteer Supervisor*
Please enter a valid phone number.
Date(s) of Volunteering*
Number of Hours Volunteered*
Candidates should answer the following questions themselves, in their own words.
What tasks did you perform/what responsibilities did you have?*
What did you take away from this experience?*
Signature Verification
Volunteer supervisors: Please acknowledge the below statement by providing your signature.

The young person named on this form has completed the above described service satisfactorily.
Signature of Volunteer Supervisor*

Clear
Parents can sign in place of the volunteer supervisor if necessary.
Should be Empty:

Confirmation Service Verification