Three Square Volunteer information for Flores-Acevedo, Adel Totals Start date: February 11, 2018 Year-to-date hours: 10:12 Lite hours: 10:12 My Service Records Year z Hours 2018 10:12 Life total: ae 10:12] 04-08-2018 10:24 pmService Learning Log (10 Hours) EDU 201, EDU 202, EDU 203 Participation Log: Complete (Combine) Service Learning components to equal 10 hours or more. Be sure to attach specific additional documents required for each type of service listed below. + Community Service: ‘Component which the student works in a volunteer capacity at any organization that will alow volurtaers, and that serv the bettarment of school age chicren in the community Tis agency is one in whieh the ‘student soeits and can obtain a verted lator of participation or catiieate fom the organization's leadership that documents the participation and hours of eect ance complete, Private School Service: ‘Tho studont must arange contact and obtain writen ppormission from the schoo's administration prior to Vistation, and must have an officer ofthe schoo! ‘provide signed verification upon schoc! letterhead of the type of service pertrmes, and duration ofthe caranunty servos oe so00, (Organized Field Trip: Your CSN instructor may be able to organize an education based als tip in which all mambers ofthe class mest at another location, insta of attending cass atthe regular scheduled time to earn service eed. Students must fil ‘ut CSN Feld Tip Waiver and prove it tothe instroctor before traveling toa sponsored off-campus event. Credit hours and veefeation for this experiance vl bo termined by your instructor + Other Service “The student can design and presenta unique sowvice tented educational experience to thairnetrutor The proposal must be in wing and agreed upon by the CSN student and CSN instructor prior to ‘accurnuiation of hous YOU MAY NOT it the school you chose for your Fold Observation request or any other CCSD schoo! as the agency fortis Service Learning Proposal. Why/? Fst fal the 10 hous for Field Observation is independent of the 10 hours serving tho community at another agency ‘Secondly, you have ro idea what schoo! you wil eventually be placed at tis tm. Last, your eventual cooperating teacher may not give you permission to stay an extra 10, hours beyond the requirements of the Field Observation, The 10 hours of Community Service e nat relat to the 10 hours of CCSD Field Observation, so DO NOT start cold Your Full Name (print) Adeline Fleres- Acevedo Agency/Type of Service: VEL Sarre Date(s) eg Date(s) BASE Ee ee Date(s) 3/QAa= 2 Cana Total Hours: 0212 ‘Supervisor Name (print): Supervisor Signature: ‘Supervisor Phone: FO8= C44- 303 exe. 20 Supervisor e-mail aa Agoncy/Type of Service: Date(s) Date(s) Date(s) Total Hours: ‘Supervisor Name (print): ‘Supervisor Signature: ‘Supervisor Phone: ‘Supervisor e-mail: Agency/Type of Service: Date(s) Date(s) Date(s) Total Hours: ‘Supervisor Name (print): ‘Supervisor Signature: