McQuaid Jesuit

Magis Hours Submission Form

First Name(*)
Invalid Input

Middle Initial
Invalid Input

Last Name(*)
Invalid Input

Class of(*)
Invalid Input

Your Email Address(*)
Invalid Input

Service Site(*)
Invalid Input

Supervisor(*)
Invalid Input

Supervisor Phone
Invalid Input

Supervisor Email
Invalid Input

Date of Service(*)
Invalid Input

Additional Dates?
Invalid Input

Date 2
Invalid Input

Date 3
Invalid Input

Date 4
Invalid Input

Date 5
Invalid Input

Date 6
Invalid Input

Total Hours(*)
Invalid Input

Grade Level During Service(*)
Invalid Input

Theme Requirement
Invalid Input

Description of Service(*)
Invalid Input