Name: ____________________________________ Semester: _________________________

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

Activities

Teach
er
Initial
s

Total Hours _________

Cooperating Teacher

College of DuPage Supervisor

Print Name___________________________

Print Name_________________________

Signature____________________________

Signature___________________________

Date________________________________

Date_______________________________