Work Or Volunteer Experience Activity Log
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1Work experience form: Use this form to record the 30 hours of work experience required to
graduate. Have your employer sign and give a phone number for verification.
WORK or VOLUNTEER EXPERIENCE ACTIVITY LOG
Student Name: ___________________________
Phone Number ____________________
Total Hours Worked/Volunteer _____________________ (From all worksites)
My Work/Volunteer Experience Activity Log for
Work site/ Volunteer Activity __________________________________________________
Worksite Address ____________________________________________________________
Worksite Supervisor ______________________________Phone ____________________
Date
Description and Location of Activity
Hours
Total Hours at this worksite __________________
Supervisor Signature _________________________________for Verification of Hours
Phone Number
__________________________________
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Parent category: Miscellaneous