COMMUNITY WORKER PROGRAM - GEORGE BROWN COLLEGE

PLACEMENT TIMESHEET

 

Student: _____________________________________Placement Supervisor: ________________________________________________

 

 

Organization: ____________________________Faculty Advisor: _____________________________ Month: ________Year: _____

 

 

Day

 

Date

 

From

 

To

 

Hours

 

Activities/Comments

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Number of hours this month: ______________________Total number of hours to date:  ______________________________________

 

Student’s signature: ______________________________Placement Supervisor’s signature: ___________________________________

 

Distribution: 1) Copy to Faculty; 2) Copy to Placement Supervisor; 3) Copy to Student