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
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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
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§ s Sighature/Date Superbisor’s Signature/Date