Name:

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Semester:

Serivl

Education Field Experience Log

Directions: This Field Experience Log is to be maintained by the student. At the completion of
the field experience, total the field experience hours and submit the log to your college supervisor.
Date

Time
In

Time
Out

Time
Spent

,, 00(0
.5412 s,. 0

Teacher
Initials

Activities

..

5 luav-,, vorchrn i tikrad IN

read 1
,

r'9

Total Hours 13
Cooperating Teacher

College of DuPage Supervisor

Print Name

Print Name

r.
Signa re

Signature

Date

Lc)

Date

i,