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eae aT, 101-202. ( 640 UTeach - Liberal Arts Observation and Lesson Verification Form - ono UTeach-LA Student: b ACMSSa U ft iteecn.a instructor: Cooperating Teacher: School/District: Observation Day(s) and Times: EKH3G yf] = Date Time Observed Taught Lesson MEPIS ZS "3°36 2 NSS SEY SSO wel 3 (374715 |g:50 16°30 Joo| 4 ES: a Sana 10-320 = [oo 5 23, . to ‘ joo,_6 (Sige a6 S70 30)\ Sees: |) 250 "its 30 5o| ® |5/20//5 |& °F BO => col? [2Jag/is|Q:20 “JQ. Z0| cata 30 Por i lO. aR! Se no| 2 \4 iS. 4O 10:30 nol B 4771S [1720 *3: JO SS 2 aw" lu/715 |3 15 84:05 nol ®lt/g/NS |8.40 "jO'30 ae toi [48 id 5 da OeS® 322.) =3 3S wl" O9/15 3:2) © 4:05 no 4 fiolis | 4o © 10:30 WoL? lufia/is | 8: 4oO * 1G: 3 ACU EELS seis” tp TWN 3. Pp seman Qh senied Ms Benage, Fash PI) sack ne you vito vey your stendace Instructions for submitting this document will be provided by your UTeach-Liberal Arts instructor. Cooperating Teacher: Please sign under the appropriate activity for the day. If the student observes and teaches, sign under both activities. Original: UTeach-LA Student Yellow: UTeach-LA Instructor Pink: Cooperating Teacher

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