Student’s Name:

CD 12- De Anza

“Make a Difference Project”

Field /Volunteer Experience

Record of Attendance (minimum of 2 hrs. per week and between 3 to 4 visits)

Date Time Sign-in Time Sign-out Supervisor’s signature
Name of Organization  
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           


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