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Student Service Learning Log

Contact Information:  
First Name:
Last Name:
Email Address:
Student ID:
Instructor(s) Name:
Complete each item below. Submit hours/projects as they are completed, rather than submitting at the end of the semester.
Name of Organization or Event Contact Person(s):
Contact's Phone:
Contact's Email Address:
Organization Name::
Starting Date (mm/dd/yy):
Ending Date (mm/dd/yy):
Total Hours Worked:
Name of Event or Activity:
Responsibilities:
 

Name of Organization or Event Contact Person(s):
Contact's Phone:
Contact's Email Address:
Organization Name::
Starting Date (mm/dd/yy):
Ending Date (mm/dd/yy):
Total Hours Worked:
Name of Event or Activity:
Responsibilities:
 


 

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