Lbusd Student Community/service Learning Log printable pdf download

Lbusd Student Community/service Learning Log

LBUSD STUDENT COMMUNITY/SERVICE LEARNING LOG

Please turn in a separate log for every project. Logs must be turned in at each semester’s end.

(Class project hours may be turned in by the teacher.)

Student Name______________________________ High School_________________ Graduating Class of 20________

Student ID___________________________ Agency/Project Name __________________________________________

Place of Agency/Project_________________________________________ City _______________ Zip Code_________

The Supervisor’s Printed Name

___________________________________

(Person who saw you volunteer)

You must complete all information, total the hours, and complete the questions below to receive credit! (Training /

Orientation / Preparation hours count!) Please keep a copy for your records! (Hours that can not be verified will not be

recorded. Fraudulent logs submitted, could mean the loss of all hours for that student, and other disciplinary measures.

Date

Time

Service Activities

Supervisor’s

Supervisors

Daily

of Service

Begin &

Signature

Phone

Hours

Performed (specific tasks)

Month/Day/Year

End

(No cell phones please)

( )

(Round all minutes to the nearest ½ hour and report as .5 only)

TOTAL HOURS

__________

(Complete answers on the back if needed)

Post Service Reflection:

1. Choose three words that best describe your Service Learning/Community Service experience.

2. How did the Service Learning/Community Service experience teach you about potential careers?

How did your service help others?

Official Use Only

Date Received___________

Lbusd Student Community/service Learning Log