Senior Project Hours Verification Form

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

Student’s name: Marc Pascual

_____________________________________________________________________________

On-campus mentor’s name: Mr. Mcgivern_

___________________________________________________________________

Group members: Jessa

Rose_____________________________________________________________________________

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

Vertido______________________________________________________

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

Date Hours Description of Work/Progress

10/21/18 8 Feeding the homeless

11/21/18 8
Feeding the homeless
12/4/18 8
Feeding the homeless

Total hours: __25_______________

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