Clark College Service-Learning Hours Report Form
Clark College Faculty: Please complete the form below to report your students' service-learning hours for this quarter. If you teach multiple sections of the same course, please complete a new form for EVERY section that you teach.
Please contact the Volunteer & Service-Learning Office at (360)992-2447 with any questions. Thank you!
Status at Clark College
Full Time Temporary
Quarter at Clark College
(eg: BIOL, CMST, DH, HDEV)
Course Number and Title
(eg: 213: Small Group Communications)
(eg: 4476, B184, 4A55, 5709A)
Number of Students that Participated in Service-Learning
Number of Hours Per Student Per Quarter
Total Number of Hours Completed
(eg: outside nonprofit organizations, Clark College programs and clubs, single events on or off campus, etc.)
Was this your first time offering a service-learning component at Clark College?
Do you plan to offer a service-learning component in one of your courses at Clark College in the future?
Any comments you would like to offer?
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