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Name: 41Y1

Semester:

Sppirii .9016)

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

s.0.16 /d 30

Time
Out

Time
Spent

/ .. 0010A 0,S it 1,s

Teacher
Initials

Activities

Art IN,

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Total Hours (9 .S 11, r

College of DuPage Supervisor

Cooperating Teacher
Print Name M-Q.,\"\Ote\ kin
SignatureVYV
Date

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1-Dva1s

Print Name
Signature
Date

1 T1 16