Name of organization where you worked:______________________________________ How did you hear about this service opportunity?_______________________________ Date of service_____________ (mm/dd/year)
Number of hours worked:_________
Project leader or representative from the organization: Print name:_____________________________ Email address:_______________________ Signature:_____________________________________ Date:____________ Phone:_______________________________________ Position:_____________________ Organization's website:_______________________
Your complete answers can be typed or handwritten, but must be legible. 1. What type of service did you do, who did you serve and what did you accomplish? _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ 2. How is this service relevant to what you are learning in your classes? _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ 3. What are the most difficult and satisfying parts of the service that you performed? _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________
service learning record sheet - Riverdale PTC
SERVICE LEARNING RECORD SHEET. Your name: Email address: Your Grade (check one): 9th. 10th. 11th. 12th. Name of organization where you worked: How did you hear about this service opportunity? Date of service_____________. Number of hours worked:______. (mm/dd/year). Project leader or representative ...
