Document Service Learning hours


For EACH service learning activity, provide the following information and documentation of your service. You should have a supervisor sign, and/or provide feedback to me. In addition, provide my contact information on the form so that the supervisor may provide feedback directly.

In some cases, e.g. CS^2, the organization will provide documentation for the hours directly to me. In this case, you need only provide description and time served.

Service Learning Documentation Form


Name, Course, Section


Total overall hours


Description: Title

Short, but detailed, description of the following:
  • What you did
  • Who you served
  • Where you did your work
  • When you did your work

Time: Total Hours spent in this activity

  • If applicable, include preparation hours, meetings, etc. as a seperate tally

Supervisor signature and feedback (or other product documentation):


  • Provide a space for supervisor to contribute feedback, evaluation, or recommendation.
  • Print the name and title of the supervisor of the experience.
  • Provide a line for supervisor to sign, and date the form.
  • In some cases, (I assume you have discussed these with me), you might have some product or other kind of documentation of your participation in an experiment, development, or organization. Please provide copies of those documents, links to work, etc. as appropriate for us to verify your service learning activities.

Contact Info for me

Dan Dunlap
540-231-2345
dunlapd@vt.edu
660 McBryde Hall 0106
Computer Science
Virginia Tech
Blacksburg, VA
24061

Repeat this for EACH activity in which you were involved.

  • This can be done on the same page(s), but be sure to clearly seperate each activity and provide all information for each.
  • In case you were involved in several activities, be sure to total the hours at the top of the form.