DATE : _________________________ Time : ________________________

LOCATION OF PROJECT :__________________________________________

SUMMARY OF PROJECT : __________________________________________

_______________________________________________________________

_______________________________________________________________

_______________________________________________________________

TOTAL HOURS : _________________________________________________
(Number of students X individual hours = Total Hours)

SPONSOR : ____________________________________________________

VOLUNTEERS HOURS WORKED

1. ____________________________________________________________

2. ____________________________________________________________

3. ____________________________________________________________

4. ____________________________________________________________

5. ____________________________________________________________

6. ____________________________________________________________

7. ____________________________________________________________

8. ____________________________________________________________

9. ____________________________________________________________

10. ___________________________________________________________

SPONSORS SIGNATURE : ____________________________________
(Verification of hours worked)

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