Service Project Log of Hours Verification 2011 12

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11/7/2012
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							Service Project Log of Hours/Verification Sheet
Date of Service:          Brief explanation of activities:                        Hours worked:

______________________________________________________________________________

   ______________________________________________________________

   ______________________________________________________________

   ______________________________________________________________

   ______________________________________________________________

   ______________________________________________________________

  _______________________________________________________________

   ______________________________________________________________

   ______________________________________________________________
(Include/attach separate sheet if more space is needed.)

                                                Total number of hours completed___________


 As project advisor and/or writing lab instructor I have read and edited this student’s portfolio
 or viewed his/her presentation and acknowledge that he/she has completed this project to the
 best of his/her ability.

 Service Project Advisor Signature ___________________________ Date_______________


 As the mentor/community advisor to this student, I hereby confirm that the student completed
 all of tasks/duties for this activity. I also confirm that the hours are correct as listed in the
 above time sheet/log of hours.

 Mentor/Community Member Signature _______________________Date _____________

 Please print your name: ________________________________

 Telephone: ________________________ (number you can be reached during work day)

						
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