St. Theresa of the Child Jesus                                 A total of 20 hours is required with at least one hour

1230 Merle Hay Road                                               and no more than 10 hours in each category.  Please

Des Moines, IA  50311-2098                               write the hours in front of the category this report is

Report for Confirmation Service Hours                   for.

 

___community ___school  ___parish  ___family

 

I, ____________________________________, can verify that __________________________________

    (Supervisor’s name..please print)                                                                                (Confirmation Candidate’s name..please print)

 

has completed ___________ hours of service (volunteer work with no financial compensation).

 

She/he was responsible for ______________________________________________________________

 

Name/date/location of project ____________________________________________________________

 

Supervisor’s comments _________________________________________________________________

 

Candidate’s comments __________________________________________________________________

 

Signed  & dated _______________________________________________________________________

                          (Supervisor)                                                                                       (Candidate)

 

 

 

St. Theresa of the Child Jesus                                 A total of 20 hours is required with at least one hour

1230 Merle Hay Road                                               and no more than 10 hours in each category.  Please

Des Moines, IA  50311-2098                               write the hours in front of the category this report is

Report for Confirmation Service Hours                   for.

 

___community ___school  ___parish  ___family

 

 

I, ____________________________________, can verify that __________________________________

    (Supervisor’s name..please print)                                                                                (Confirmation Candidate’s name..please print)

 

has completed ___________ hours of service (volunteer work with no financial compensation).

 

She/he was responsible for ______________________________________________________________

 

Name/date/location of project ____________________________________________________________

 

Supervisor’s comments _________________________________________________________________

 

Candidate’s comments __________________________________________________________________

 

Signed  & dated _______________________________________________________________________

                          (Supervisor)                                                                                       (Candidate)