Senior Project Hours Verification Form

Completed forms must be given to the mentor and will be provided to the review panel.

Student’s name: Clifford Leung

On-campus mentor’s name: Kit-U Wong

Group members: Doulton Chinen, Colby Mamiya

Off-campus mentor’s name (if applicable): _______________________________________________________

Off-campus mentor’s phone number: _____________________ E-mail: ________________________________

Date Hours Description of Work/Progress

8/8 8 Filing proof of deliveries, Help deliver voting ballots

8/9 9 Filing proof of deliveries, organize the boxes of P.O.D’s from previous years, get an
understanding of theoperation
8/10 8 Filing proof of deliveries and finish the rest of the P.O.D’S from previous years

Total hours: 25

By signing below, all parties attest that the above information verifying the student’s participation is true and
accurate.
___________________________________________ ___________________________________________
Student’s Signature/Date Supervisor’s Signature/Date