UConn Food Stamp Nutrituion Education
Project Time and Effort Form



(Any unique 3 - or 4 - digit number)

First Name

Last Name

Date of Activity


Total Time Spent (in hours)

Time Spent in Direct Contact with Food Stamp Recipients (in hours)


When choosing multiple items, press ctrl + items

Other Activities

UConn Family Nutrition Program
Note: This Time and Effort Form needs to be filled out with no more than one week delay.