Report  Service Hours

Click to Print the Service Hours Form and mail in

Mail to:

Dennis O’Toole
17650 Edgewood Road
Council Bluffs,  IA 51503

OR

Use the Form below to report your  Service Hours Online

Click to Read definition of each line on the report

Report Number of Hours for Each Activity

FAITH ACTIVITIES

FAMILY ACTIVITIES

COMMUNITY ACTIVITIEs

LIFE ACTIVITIES

OTHER FRATERNAL COMMITMENTS:

Meetings