You are on page 1of 1
Senior Project Hours Verification Form Completed forms must be given to the mentor and will be provided to the review panel. student's name: _COYANN Kusaka On-campus mentor’s name: MG. MOMWMAMA Group members: Ernily Hateushige 7 Off-campus mentor’s name (if applicable): JOSEPH _EppInk , DA Cat (S08) 225 - 1406 _e-nwit_yeppinke® hospicelawali.or4. oe Hours Description of Work/Progress yr CONPERA the WANING PCE, learning how Te Handle divect Tec 12 COR me Hai tabout the Reaplcet pniogeyiny WA Filled witth HEM WC as qGiovee E ufor | uu Mean A pee ae Soe chen ond patients) hon Seatined aid patent Ales to, digrize the WO Info We Red S4SiEr Wi30 | 3.28 |xer ned Daethor vAHONt + FAN FesDuYce guides can FO help Gave vapers space we Scanned oid paren fier 120% | 0.45 [2 Sihase at Woimauon inte a mae acceseane Sysreth 12/05 | 1.15 | same as avove Bang CHncmas CAYO ay Wale NA T WreING Center tz/t 0.25 [Ge baments tor te join m + eee + : er PAHO + fame Wecouree Gudec anich ncwded LIT |S PRACT, PANCREAS Shas Th cate ‘ana ie" Total hours: 21.24 By signing below, all parties attest that the above information verifying the student's participation is true and yc apie Qr alors § s Sighature/Date Superbisor’s Signature/Date

You might also like