Service Learning Time Log
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1SERVICE LEARNING TIME LOG
Coastal Carolina University
Student Name
_____________________________ ID#:_________________
:
Phone: ______________________________ Email: _____________________________
Major: __________________ Course #: _________________ Term/Year: ________________
Instructor: ___________________________
Phone: ______________________________ Email: _____________________________
Date
Activity
Time In:
Time Out:
Site Supervisor
Total Time
Initials:
TOTAL HOURS SERVED:
0.00
Agency: _________________________________ Location: ____________________________________
Supervisor’s Name (print): _______________________________
Supervisor’s Signature: __________________________________ Date: ______________
Phone: ______________________________ Email: ______________________________
Student’s Signature: _____________________________________ Date: ______________
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Parent category: Miscellaneous