SERVICE LEARNING TIME SHEET

Chicago Public Schools

Whitney M. Young Magnet High School
Name: (print) ______________________________ Home /cell phone: _____________ Division #: ________
Non-profit Organization name: ___________________________________________________________________
Organization address: ____________________________________________________________________________
Supervisors name: _____________________________________________Contact phone: __________________
Service Preparation:
Briefly describe the service-learning project and your role in it. What issue does the organization
address? Whom does it serve? How long has the organization been in existence?

Complete this time chart or attach a letter on letterhead outlining total hours.
Date

Time In

Time Out

Total Hours

Supervisors signature

TOTAL HOURS for Project

(10 hours minimum)
Project Reflection:
What was the best experience during the service-learning project? How would you approach this
project or another project differently next time?

Please return this sheet to the Service Learning Coach (Room 128). (rev 1/13)