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School Experiences Attendance Log semester FA\\ ZO\1 Directions: Candidates should use this log to document time spent in clinical placements, Every vist should be logged. You Tigy need a different form for each course; ask your course instructor. Multiple copies ofthe form may be used to log all visits. At the end of the semester: 1) upload your School Experiences Log in your Field Experiences portfolio on Taskstream. For directions on how to access the Field Experiences portfolio, go to hitp://edueation.unce.edwofe and click on the “Early Clinical Experiences” tab, Then click the “Taskstream Field Experiences Portfolio” link for directions, 2) Follow any additional directions from your course instructor about submitting the form for course requirements. Candidate Name™ THAPIMOLT F110 \0 VIO 500 AQGRSS LOL Seok NA THA VL AVEXAMA CY ELEMERTTAMY | Stearic CHA ( Teacher Name: TA SSH Gyure “Teacher email: regan f-4Wt@ Teacher Namez Teacheremaily Git MLM UL Date Time Involved Purpose/Activity(ies) ‘Teacher Signature FBT 30am WcsoTM(SHOU) oliniGals iN | | AILONT 1:30 -\e Sarin (S hows) Clyrticalll AITTLT 1:36 em “10-50 Yin Staves) CHICAS WHAIL1 1. 30avm- 10-30 pa (f four) Chitti car | WONT TZoqm- 130 F(T Hoven) Che CAls WOH AS{1T 7:30 ame 3H PI (Tours) Clic aL | waf23111 7-30 am 3-30Fim (§ hours) Clin ioal\s 18 TAT 7:30 OOeAB: 30 pet (Tours) CHiTicals x Total Hovis. 43 acknowledge that this form accurately reports my clinjegl experiences for this TTT cate TOLER | 22

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