NORTHAMPTON HIGH SCHOOL INTERNSHIP WEEKLY ATTENDANCE RECORD Fall 2008

This form must be submitted weekly in order to obtain a passing grade (P) and credit, to Mrs. Donna Waterman ________________________________ ________________________ Student Name ________________________________ ________________________ What are your contracted days and times? NHS Internship Office 380 Elm Street, Northampton Phone: (413) 587-1332 Fax: (413) 587-1374 Internship Site

Mentor Name and Phone #

Please use the following codes to track student attendance. Please Note: The high school has a very strict attendance policy; therefore information must be true to the very best of your knowledge. Thank You. X = Present H = School Holiday/Vacation A = absent (please state reason for absence) T = Tardy Week of:___________________(Example: 1/30/06-2/3/06) Time 7:00 7:30 8:00 8:30 9:00 9:30 10:00 10:30 11:00 11:30 12:30 1:00 1:30 2:00 *Please explain any absences here:___________________________________________ (Documentation should be provided to site mentor for medical excuses) Monday Date:______ Tuesday Date:______ Wednesday Date:______ Thursday Date:_____ _ Friday Date:_____ _ Mentor Signature

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