FOR OFFICE USE ONLY
Received: ______________
Approved: __________L / C
Entered: ______________
Scanned: ______________
PRO BONO TIMESHEET
Please print legibly or type all responses.
Submit completed form to the Office for Career Development.
To Be Completed by the Student:
Student Name
Student Identification Number
Expected Month/Year of Graduation
Phone Number
Email Address
Name of Organization
NUMBER OF
DESCRIPTION OF WORK PERFORMED
DATE
HOURS
(Daily/Weekly)
(Daily/Weekly)
TOTAL HOURS:
I hereby certify that the information listed above is true and correct to the best of my knowledge, that I
received no compensation or academic credit of any kind for the hours reflected on this timesheet, that I
was supervised at all times (by a licensed attorney, if legal pro bono), and that I completed all assigned
work.
___________________________________
________________________
Signature of Student
Date
To Be Completed by the Supervisor / Supervising Attorney:
I hereby certify that the information listed above is true and correct to the best of my knowledge, that the
student received no compensation or academic credit of any kind for the hours reflected on this
timesheet, that he or she was supervised at all times (by a licensed attorney, if legal pro bono), and that
he or she completed all assigned work.
____________________________________
_________________________
Name of Supervisor / Supervising Attorney
State & Bar License (If Legal Pro Bono)
____________________________________
_________________________
Signature of Supervisor / Supervising Attorney
Date