TeachingandDiscipleship Acts of Service
Physical or Social
Evangelism Acts of Service
Physical or Social
Non-ChristianChristianPhysical
(Non-Verbal)
Verbal
Typesof PeopleTypesof Service
ABCD
YouHomeChurchSchool
N a t i o n
World
C o m m u n i t y
Student Reflection Paper
Student Information
To be filled out by the Student
Grade: Bible Teacher: Bible Class Period:Student Name: Gender: M F
Last/Family Name First Circle One
Home Address:
Number and Street City Zip Code
E-mail Address:
Service Organization Information
To be filled out by the Student
Organization Name
Service Description
To be filled out by the Student
Service to be credited for: Fall Spring 20________ Total Hours ________
Circle One Fill in the year
Date(s) Participated (list all day/month)Type of service (check
all
that apply)A. ____ Social Needs
– church nursery, nursing homes, etc.
B. ____ Physical labor
– construction, cleaning, lawn-work, etc.
C. ____ Teaching/Discipleship
– VBS, church leadership, worship teams,small group leaders, etc.
D. ____ Evangelism
– missions trips, witnessing trips, etc.
Areas of service (check
all
that apply)____ Home
– work with family or extended family
____ Church
– work for your local church
____ School
– work for CVCA in any capacity
____ Local community
– work with non-school/church organizations locally
____ Nation
– work with any organization that isn’t local (out of state, but in the nation)
____ World
– outside of the U.S. trips for service
Was this a school or church sponsored mission trip? School Church Neither
Circle One
3
Grade _____ Entered _____
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