Student Service-Learning Course Timesheet
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Student Information
Name
JAG Number
Email
Course
Section
Instructor
Organization Information
Name
Address
Phone
Supervisor Name Phone
Email
Project:
Page Number ______ of ______
Date
Time In
Time Out
Total Time
Supervisor
Initials
Total hours for this page
Total hours from previous pages
Total hours for the course
I certify that the above information is true and correct to the best of my knowledge, and that the times indicated
accurately reflect work performed by the named student.
_________________________________________
Student Signature
Date
CASLCE USE ONLY:
DBE: ______________ VER: ______________
_________________________________________
Supervisor Signature
Date
P/N: ______________ C/N: _____________