SERVICE-LEARNING LOG SHEET
PALM BEACH STATE COLLEGE SERVICE-LEARNING PROGRAM
SUBMISSION DUE DATE _________
Student
Agency
Contact:
Email:
Phone:
Email:
Phone:
Date
Description of Service
Hours
Class
Faculty:
Email:
Phone:
Authorized Agency
Signature
Supervisor comments
Total
Hours
Supervisor Name__________________________________________
Supervisor Signature__________________________________________
FEBRUARY 2010
Date____________
Sem/Yr