STUDENT SERVICE VALIDATION FORM
MANNA:  Meeting a Need Now and Always

St. Elizabeth High School Manna Service

Name: __________________________________________________

Service Project Site:  ______________________________________

Adult Supervisor:  _________________________________________
 
Phone Number:  _________________________

Start Date: _____________________________
 
Finish Date: ____________________________

Hours of Service Performed:  ______________
 
Student Signature: ___________________________________________

Date: __________________
 
Parent/Guardian Signature: ____________________________________

Date: __________________

Supervisor’s Signature:  _______________________________________

Date:  _________________
 
Please answer the following questions on a separate sheet and type all answers using  complete sentences.  

• Give a brief description of your project.
• Describe how it benefited those you worked with.  
• Tell one way you experienced God’s presence through your work.  
• What advice would you give another student who might consider a similar project?

Return the signed form and the answers to the above questions to Ms. Kegelman.