Fillable Career Services College of DuPage 3258 Student Services (College of DuPage)

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Career Services College of DuPage 3258 Student Services (College of DuPage)

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Please complete and print two copies of this form. One copy should go to your instructor, the second copy should be
kept for your records.
Service Learning Program Hours Log
Name: ______________________________________________ Placement/Site Name: _________________________________
Instructor: __________________________________________ Course Name/Number: _________________________________
Site Supervisor’s Signature: ______________________________________Semester/Year: _______________/______________
College of DuPage
Career Services
3258 Student Services Center (SSC)
CARSERV-11-8096(R1/12)
Date
Time
IN
Time
OUT
Activities Hours
Total Hours:
0
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Career Services College of DuPage 3258 Student Services (College of DuPage)

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Completed 15 September 2020

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