Servant Leadership Documentation Sheet
South Haven Christian School
Student Name
First Name
Last Name
Student's Grade
Please Select
Freshman - 9th
Sophomore - 10th
Junior - 11th
Senior - 12th
Guidelines For Acceptable Service
Service should be for a not-for-profit organization or for other pre-approved recipients.
Service hours will count toward the graduation requirement beginning the summer prior to the students' freshman year of high school.
Students may not receive any payment or material benefits from their service.
Proof of service may be established by a written letter from an authorized representative of the organization stating how much time students served and a brief description of the activities. Proof of service may also be established when an authorized representative of the organization completes the information below.
Freshman & Sophomore: 8 hours per year
Junior & Senior: 12 hours per year
For specific guidelines, consult the Parent-Student Handbook.
The following information must be completed by an authorized representative of the organization or person receiving services from the student named above. Contact a member of the school's administration at 615-384-5073 with any questions.
Name of Person or Organization Receiving Services
Date
-
Month
-
Day
Year
Date
Name of Authorized Representative
First Name
Last Name
Phone Number
Please enter a valid phone number.
Description of Services
Number of Hours
Signature of Authorized Representative
Submit
Should be Empty: