Appendix 5 BU3PL Placement: Diary of Attendance

Placement Name:……………………………………………………………………………………………

Your name: ………………...……………………….…… Signature: ……………………….………………

(capital letters) I confirm that the dates/ times below are an accurate record of my placement.

Placement mentor name: ……………...……............... Signature:………………………………..…….

(capital letters) I confirm that the dates/ times below relating to the actual placement hours (i.e. not
including training at RNCM) are an accurate record of the student’s placement.

Date Start/finish Short description e.g. training, briefing/ induction, No of hours: 30hours min.
time observation, teaching, coaching, office work etc