FSNE Time and Effort Form - Infant Toddler

UConn Food Stamp Nutrituion Education
Project Time and Effort Form

Project
PersonID	(Any unique 3 - or 4 - digit number)
First Name
Last Name
Date of Activity	(mm/dd/yy)
Total Time Spent (in hours)
Time Spent in Direct Contact with Food Stamp Recipients (in hours)
Activities	When choosing multiple items, press ctrl + items
Other Activities

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

-------------------------------------- Activities -----------------------------------
Educational Material Development/ Review
Literature Review
Program Meetings/ Presentations
Program Outreach
Research & Evaluation Analysis
Research & Evaluation Data Collection
Report Write-up