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