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P.O. Box 330Q Somerville, New Jersey 08876

SERVICE LEARNING TIME SHEET

"All information must be completed to receive a transcipt
INSTRUCTIONS:
1.
During the project, record your service hours on this time sheet.
2.
At the end of the project, obtain the signatures of your placement site supervisor and instructor.
3.
Submit a fully completed copy to the Service Learning Office and maintain a copy for your records.
You can bring the form to thir office which is located in the Somerset Hall, 1st levet, Room 5147 or scan and email it to

lf you have any questions, please email Lori M oog: !_e_fi;:l*.t$g8Fli!gq"v"11."9*:;or callthe office at 9OB-5ZG-1200 x 8284.

"Student's Name (erint Cteaily):

*Student
l.D. #: Gcnl3t2U ()

Time Total Hours

Date Supervisor's
Per
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ditiona

Total Number of Hours

*Name
of Community Organization:
*Supervisor's Name (print):

"S upervisor's Sig nature :

*The
student has satisfactorily completed service leaming project for:
(Name of Course Offering Service Learning)

,*rl Q
*lnstructor's
Name (erint):

"l nstructor's Signature:

At the end of the spring semester, you will receive a Student Engagement Transcript; it will be mailed to the address
on file with the college. lf you need one sooner, please contact the Service Learning office. This is an offjcial
transcript from the College documenting your participation in the service learning course named above. Service
learning should be noted on your resume and transfer application and the transiript is a great way to enhance
them-