VETffiffiffi# UruEVffiR.

SETY
SCHOOL OF EDUCATION FIELD EXPERIENCE Date

Studeni lD#

has been assigned fo your class for observation

LasUFirst/Middle lnitial

and/or

pa

rticipatin g from:

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University Course The student will complete the following log, but may we ask you to verify his/her experience at completion? FIELD EXPERIENCE LOG Time Time Completed Started Ev' O ?O:m Ex: B:30am

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Students: Falsification of field experience records may lead to dismissal from the progrelm'

Time
Started

Ex: 8:3Oam

Time Completed Ex:9:3Oam

Daily Total

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Total llours Signafure of Supervising T

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(Sigaature indi cation experience) .of hours

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The Student will retum this form to School of Education Office, MRC 401. STUDENTS: You wiil not be given creriit unless ttre teacher signs above!

VITERBO UNIVERSITY
SCHOOL OF EDUCATION FIELD EXPERIENCE

has been assigned to your ctass for observation

and/orparticipatinsrrom:

tliCY

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a lAl}cl lSCij r Month/DhteIYear

Month/DateA/ear

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University Course

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The student will complete the following log, but may we ask you to verify his/her experience at completion? FIELD EXPERIENCE LOG

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Falsification of field experience records may

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Date

Time
Started

Ex:8:30am

Time Completed Ex: 9:30am

Daily Total

Activities

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Total Hours

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Signature of Supervising T

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The Student will return this form to School of Education Office, MRC 401. STUDENTS: You will not be given credit unless the teacher signs above!

VITERBO UNIVERSITY
SCHOOL OF EDUCATION FIELD EXPERIENCE Student ID#

has been assigned to your class for observation

and/orparticipatingrrom:

t" lA I Dq f '0i3 -? n*, ' _ LC i ri*" $ 'CCo l't'torv, /i4 '- i" P*'Y-, \ -{ -' 'i. Licrrn:L,rL 5 Lt[Uir ,tlft{' f rs ['XlL l[=tltiii{) Universitycourse t{$
llify f eCf }
fulonth/batel/"rl*.
MonthlDatel/ear
-o

The student will complete the following log, but may we ask you to verify his/her experience at completion? FIELD EXPERIENCE LOG Activities Daily Time Date Time Total Completed Started Ex: 9:30am Ex: 8:30am

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Students: Falsification of field experience records may lead to dismissal from the program.

Time
Started

Ex: 8:30am

Time Completed Ex:9:30am

fot

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Total Hours .{.:
Signafure of Supen'ising T
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I

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The Student will return this form to School of Education Office, MRC 401. STLTDENTS: You will not be given credit unless the teacher signs above!

VITERBO UNIVERSITY
SCHOOL OF EDUCATION FIELD EXPERIENCE

tiafrfrrt'l
Student ID#

has been assigned to your class for observation

and/or participating from:

;,,* i , [{'P,'i'-1 'l l\ r I " -.i, /t 'i L t ( \*f r- tl , ..iSt it.tt( L ''J-i {lt University course tl :\.
- t
rime

tt Days 1YI

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The student will complete the following log, but may we ask you to verify his/her experience at completion? FIELD EXPERIENCE LOG Daily Activities Time Time Date Total Completed Started Ex: 9:30am Ex: 8:30am

ti1't

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Students: Farsincation ornerd experience records

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Time
Started

Ex:8:30am

Time Completed Ex: 9:30am

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Total

Ifours 3 trf :
verification of hours andexperience)

Signafure of Supervising Teac

School: f

i' ' :'

The Student will return this form to School of Education Offtce, MRC 401. STUDENTS: You will not be given credit unless the teacher signs above!

VITERBO UNIVERSITY
SCHOOL OF EDUCATION FIELD EXPERIENCE Student lD#

has been assigned to your ctass for observation

and/or participatins

rrom: i ; il,U i #.,i'1

oays

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M6nth/Dhtel/ear

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Mbnth/Datef/ear

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The student will complete the following log, but may we ask you to verify his/her experience at completion? FIELD EXPERIENCE LOG Activities Daily Time Time Date Total Completed Started Ex: 9:30am Ex: 8:30am

tfruf ;s,:12 S/5c*rrn

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Falsification of field experience records may

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