Community Service-Learning Program Log Sheet
Due: Friday, December 9th, 2011
Course Name:
Professor:
Agency & Supervisor:
Phone Number:
Date
Total
Hours
Nature of Work
Supervisor
Initials
Student Name:
Phone Number:
 Students must complete 40 hours of unpaid, volunteer service to
meet CSLP requirements. Two of these hours can be completed by
attending the reflection and evaluation activities facilitated by the
Center for Community Engagement and Service.
 Please complete and return this page after project completion.
Date
Total
Hours
Nature of Work
Supervisor
Initials
TO BE ADDED TO WITH EACH LOG ENTRY: Service accomplishments/quantifiables (tasks/objectives/work accomplished).
Please describe, in words (and numbers/quantities, if possible) the outcomes of your service and the impact it has had on the community you’re helping.

Supervisor comments (Feel free to continue on the opposite side or attach additional pages as necessary):