On-line Service Verification Form

On-line Confirmation Service Verification Form

* Indicates required field

Student's Name (First & Last) *

First Service Experience *

Select One *

Name of First Service Supervisor *

Dates & Hours of First Service *

What did you contribute; what did you learn during this first project? *

Second Service Experience *

Name of Second Service Supervisor *

Dates & Hours of Second Service *

What did you contribute; what did you learn during this second project? *

Third Service Experience *

Name of Third Service Supervisor *

Dates & Hours of Third Service *

What did you contribute; what did you learn during this third project? *

Fourth Service Experience *

Name of Fourth Service Supervisor *

Dates & Hours of Fourth Service *

What did you contribute; what did you learn during this fourth project? *

Submit

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St. Philip the Apostle Catholic Parish
Mailing/Rectory: 1223 W. Holtz Avenue in Addison, IL 60101
Church Building: 1233 W. Holtz Avenue in Addison, IL 60101
Phone #: 630-628-0900 Email: rectory@st-phil.org
Office Hours: Monday-Thursday 8:30a-3:00p.; Friday 8:30a-2:30p
Summer Office Hours: Monday-Thursday 8:30a-2:30p; Friday 8:30a-12p