Senior Project Hours Verification Form

Completed forms must be given to the mentor and will be provided to the review panel.

Student’s name: Serena Hong

On-campus mentor’s name: Ms. Krupa

Group members: Sydney Goto

Off-campus mentor’s name (if applicable):

Off-campus mentor’s phone number: _______________ E-mail: ________________________________

Date Hours Description of Work/Progress

Total hours: _________________

By signing below, all parties attest that the above information verifying the student’s participation is true and
accurate.
___________________________________________ ___________________________________________
Student’s Signature/Date Supervisor’s Signature/Date