Individual Student Community-Based Learning Log Month/Year: ________________ Student Name:________________________

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Individual Student Community-Based Learning Log
Center for Community-Based Learning and Action - TESC
Student Name:________________________Month/Year: ________________
DATE
Example
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
TOTALS
NUMBER
OF
HOURS
3
Additional
volunteers or
value of
goods/services
obtained
BRIEF DESCRIPTION OF ACTIVITY (examples: tutored ten fifth
graders in math; recruited two volunteers who planted trees;
organized forum on income disparities) Continue on back if
necessary
2 volunteers
Organized group to plant trees in greeway.
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