Reflections on My Senior Project ____/100

**This must be completed and signed by the end of each quarter.**

*If you are volunteering at more than one place, you will need to fill this out for each place you are
volunteering.*

Due Date: _______________________

Number of hours completed at this location: _________

Student Name: __________________________________________________________________

Project Title:____________________________________________________________________

Answer the questions below in 8-10 sentences for each question. Your responses must be typed.
You can find digital copies of this page on www.greenfieldenglish.weebly.com/senior-project.html

1. Where did you complete your volunteer hours? What tasks did you complete? Why did you choose
this activity? Please identify the organization/charity and its importance to you.

2. What benefits did those you were serving gain from your time with them?

3. What benefits did you gain from today? What did you learn about yourself?

4. What will you do differently next time? Remember, not all experiences are perfect. What are
your plans for future volunteering?

Late Reflections will not be accepted.

 Mentors, please complete this portion for each visit:

Date Location/Organization Hours/ Mentor Signature Quality of Service

Mentors, Circle One
Time
Excellent Good
Fair Poor

Excellent Good
Fair Poor

Excellent Good
Fair Poor

Excellent Good
Fair Poor

Excellent Good
Fair Poor

Excellent Good
Fair Poor

Mentor Comments:

Do you have any questions or comments that will help us make this a better program?

Mentor Name (Printed): _____________________________________________________

Mentor Title/Position: _____________________________________________________________

Mentor’s contact phone number: (_______) ________ - __________

Thank you, Mentors! The staff at UHS appreciates you!

*Student* signature: _______________________________________________________

Please contact your teacher with any questions.

Mrs. Ballard – Paula.Ballard@uticak12.org

Mrs. Greenfield – Suzanne.Greenfield@uticak12.org

Ms. Kammann – Linda.Kammann@uticak12.org

(Photocopies of this page previously signed will not be accepted.)