Center for Civic Engagement
Hours Log Worksheet for Travel Reimbursement
Your Name:_______________________________
Check One: FY Civic Scholar Weekly Service _____
Date
# of Hours
Organization
Your Cell Phone: _____________________
Sophomore Internship _____
Date Submitted: _____________________
CBL Class (indicate course name): _____________________________
Description of Activities
Expense
Expense Total:
If total is over $50, or if you are submitting this very close to the end of the semester, provide your address where we can send
your reimbursement check: