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)


* Please Specify details, such as "where", "to whom", "what lessons" in "Other Activities" below.

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.