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

09/30

5 periods

Observing classes

10/7

2 periods

Lunch intervention

10/14

2 periods

Lunch intervention

10/21

2 periods

Lunch intervention

11/11

2 periods

Lunch intervention

11/18

4 periods

Lunch intervention

12/2

4 periods

Lunch intervention

Teach
er
Initial
s

Total Hours ___21______

Cooperating Teacher
Print Name___________________________
Name_________________________

College of DuPage Supervisor

Print

Signature____________________________
Signature___________________________
Date________________________________

Date_______________________________