Perry High School

PERRY Mentorship Program

Kathryn Steele/PMP Advisor

3737 13th Street S.W.

Massillon, OH  44646

(330) 478-6163

E-mail:  steelek@perry1.sparcc.org

__________________________________________________________________

Student Time Log Sheet

 

Student's Name:  ____________________________

Mentor's Name:   _____________________________

Company:  ___________________  Career Interest:  ________________________

 

Date:                          Time In:                   Time Out:                Number of Hours:

_________            _________            _________            _________
_________            _________            _________            _________
_________            _________            _________            _________
_________            _________            _________            _________
_________            _________            _________            _________
_________            _________            _________            _________
_________            _________            _________            _________
_________            _________            _________            _________
_________            _________            _________            _________
_________            _________            _________            _________
_________            _________            _________            _________
_________            _________            _________            _________

 

                                                                        Total Number of Hours  _________

  

Mentor Signature:  _________________________ Date:  ________________

 

Student Signature:  ________________________   Date:  ________________

 

Advisor's Signature:  _______________________     Date:  ________________