Community Service Time Sheet Page 2

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San Jose Unified School District

Community Service Learning

Studentʼs Name:

Student Time Card

Studentʼs ID:

Year student graduates:

Name of non-proﬁt agency Contact Personʼ

s Signature Describe studentʼs duties/responsibilities

Name of non-proﬁt agency Contact Personʼ

s Signature Describe studentʼs duties/responsibilities

Name of non-proﬁt agency Contact Personʼ

s Signature Describe studentʼs duties/responsibilities

Name of non-proﬁt agency Contact Personʼ

s Signature Describe studentʼs duties/responsibilities

Please note: Only original forms will be accepted- copies will be rejected. The back of this form must be completed by your supervisor or the form will be returned.

External Programs: Erlendson/Fuqua/ revised 1/24/10