STUDENT SERVICE LEARNING REPORT

NAME: (print) _______________________         DATE: ___________               HOMEROOM: ____________

ON SITE SUPERVISOR/COORDINATOR: _______________________________________________________

PHONE #: ____________                                                                               SERVICE HOURS: ________

BRIEF DESCRIPTION OF THE PROJECT: ______________________________________________________

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PURPOSE: Describe how you selected your project. List any special skills you had to learn to perform the service. Explain how you planned the project.

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ACTION: Describe your involvement in the project.

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REFLECTION: Describe what you learned from the service project. List changes you would make to help other volunteers. Identify what you would keep the same.

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COMMENTS:

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Complete and return to your teacher or advisor.