Student Service Learning Log

Contact Information:
First Name:	(required)
Last Name:	(required)
Student ID:	(required)
Instructor(s) Name:	(required)
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: