Beruflich Dokumente
Kultur Dokumente
Student Name __________________________________________________ Period _______ Date _____________ Community Health Project Sign-in Sheet/ Log Advanced Health Community Health Project Overview: Your goal is to participate in a program under the general umbrella of a community-based health initiative. Ideally this would further your personal knowledge and serve as a tremendous experience for those of you who plan on going into a health-related field. Options: Please choose one of the options (see reverse side) or speak to me regarding any other possible alternatives. Time Requirements: This project should require about two hours and be no less than 1 hours of your time. If you cannot meet this time criteria at one time you may go again or may add another option. Due Date: The project is due in its entirety one week before the end of the quarter. You will also be expected to provide an informal presentation and write-up of your project to the class. (See Course Calendar and Syllabus). This Sheet: Please bring this sheet as evidence of your participation. The agency or individual must initial off on the hours that you are present. Please also secure the name and contact number of the individual who signs off on your sheet. Any literature you could secure (handouts, brochures, pamphlets, etc.) would also be valuable during your presentation. If any of the agencies have any questions, please do not hesitate to give them my contact information. Contact: Jim Bondi Email: jbondi@hinsdale86.org Office #: 630.468.4486 _____________________________________________________________________________________________ Date Agency/Contact Name/Number Hours Initials
By signing this agreement, I have consented that I have not forged any hours. All information on this sheet is true and is not falsely stated.