Classroom Service Learning - Compilation of Hours Form

Please complete the table below and tally the number of hours. Ensure that the service learning information is complete and legible. A minimum of 45 hours of service learning is required. All signed and approved service learning verification forms must be included in the Service Learning section of your teaching portfolio. Place this completed Compilation of Hours form in the beginning of the Service Learning section of your teaching portfolio. Use the back of this sheet if additional space is needed. Students Name:
Date of Service Learning (Month/Year)

______________________________________________
School Grade Level/Content Area Hours

I certify that I have participated in the stated service learning hours and have included verification forms for each in my teaching portfolio.

Total Hours (min. 45 hours)

__________________________________________________ Name

_____________ Date