Service Learning Time Sheet (midterm)

Due on Thursday, March 2

 

Student Name:_____________________________________________________

 

Agency:___________________________________________________________

 

 

Date

Time

in/out

Activities

 

Notes/Comments

 

Hours

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TOTAL

Hours

 

 

 

 

Supervisor's signature: _________________________________ Date:________

 

SUPERVISOR'S RATING OF CONTRIBUTION TO THE COMMUNITY

Due on Thursday, March 2

Turn in with time sheet #1.

 

 

Student's Name:

 

 

Name of the Agency/Service Site:

Name of the Supervisor:

 

 

Please answer the following regarding your student's service work so far.

 

1. I am satisfied with the student's contribution.

strongly disagree                     1          2          3          4          5                      strongly agree

 

2. S/he has been effective in helping solve problems (achieve goals) in our organization or community.

strongly disagree                     1          2          3          4          5                      strongly agree

 

S/he established meaningful relationships with those in the organization or community.

strongly disagree                     1          2          3          4          5                      strongly agree

 

 

 

Please make recommendations for improving the student's service learning experience in your organization or community.

 

 

 

 

 

 

Would you be interested in hosting a student service learner again in the future?

Explain.

 

 

 

 

How many hours has this student served with your organization?

 

 

Supervisor's Signature: ____________________________ Date: ____________

 


Service Learning Time Sheet (final)

Due by Tuesday, May 2

 

 

Student Name:_____________________________________________________

 

Agency:___________________________________________________________

 

 

Date

Time

in/out

Activities

 

Notes/Comments

 

Hours

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TOTAL

Hours

 

 

 

 

Supervisor's signature: _________________________________ Date:________

SUPERVISOR'S RATING OF CONTRIBUTION TO THE COMMUNITY

Due by Tuesday, May 2

Turn in with time sheet #2.

 

 

Student's Name:

 

 

Name of the Agency/Service Site:

Name of the Supervisor:

 

 

Please answer the following regarding your student's service work so far.

 

1. I am satisfied with the student's contribution.

strongly disagree                     1          2          3          4          5                      strongly agree

 

2. S/he has been effective in helping solve problems (achieve goals) in our organization or community.

strongly disagree                     1          2          3          4          5                      strongly agree

 

S/he established meaningful relationships with those in the organization or community.

strongly disagree                     1          2          3          4          5                      strongly agree

 

 

 

Please make recommendations for improving the student's service learning experience in your organization or community.

 

 

 

 

 

 

Would you be interested in hosting a student service learner again in the future?

Explain.

 

 

 

 

How many hours has this student served with your organization?

 

 

Supervisor's Signature: ____________________________ Date: ____________