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Harrison STEM Student Volunteer Time Sheet This documentation must be completed and turned in within 48 hours of serving as a volunteer in order to meet the STEM Distinguished graduate volunteer hour option. After 48 hours this form will not be accepted unless prior ‘arrangements have been made in advance Student Information ae y Student Name: Duly Today's date: | due YUN Ema Address: 7.1 fy 2607 OGuaail-com Service Hours Log Service Organization: Clough Wi\t Service Organization Phane Number ‘Name of the Event/Activity: Oounc-typen SiteContact: New Quits TypeofEvent: FAL Tin Site ContactEmail: (yj (hy S@ Goh. Cowm Date Time In Time Total Description of Activities Out | Hours | #9veerbe how te active benef the conmuntyend what th student hs eam fram te eperience 4 { 2 bs, Sud Cage art Yrterows bed. | Organization Verification, - hereby verify that the Community Service activities were completed as described above. Student Signature: 7) f > hoff [ste supesisor signature: JC PU

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