Community Service Hours Form

College assistance migrant program Community Service Project Hours

CAMPStudent:___________________________________________________

Type of Community Service:_____________________Location:________

ContactPerson:_____________________Phone#_____________________

Date(s):____________Number ofhours:______________ (Minimum 8 hrs)

Explain your involvement and how the community and you benefited from the experience

_______________________________________________________________________

________________________ ________________________

Student Signature Date

________________________ ________________________

Supervisor Signature Date

Created: November 01, 2006 @ 03:22 PM
Last Modified: November 01, 2006 @ 03:28 PM