Gordon College Gordon College Gordon College

Republic of the Philippines Republic of the Philippines Republic of the Philippines
City of Olongapo City of Olongapo City of Olongapo

GORDON COLLEGE GORDON COLLEGE GORDON COLLEGE
Olongapo City Sports Complex, Donor St.,East Tapinac, Olongapo City Olongapo City Sports Complex, Donor St.,East Tapinac, Olongapo City Olongapo City Sports Complex, Donor St.,East Tapinac, Olongapo City
College of Education, Arts and Sciences College of Education, Arts and Sciences College of Education, Arts and Sciences
(Program Coordinator’s Copy) (Instructor’s Copy) (Student’s Copy)
Name of Observer :___________________________ Name of Observer :___________________________ Name of Observer :___________________________

Year Level :_______ Major: _____________ Year Level :_______ Major: _____________ Year Level :_______ Major: _____________
Field Study :___________________________ Field Study :___________________________ Field Study :___________________________
Cooperating Teacher :___________________________ Cooperating Teacher :___________________________ Cooperating Teacher :___________________________
Cooperating School :___________________________ Cooperating School :___________________________ Cooperating School :___________________________
Principal :___________________________ Principal :___________________________ Principal :___________________________
FS Coordinator of Cooperating School FS Coordinator of Cooperating School FS Coordinator of Cooperating School
:___________________________ :___________________________ :___________________________
Number Signature of Number Signature of Number Signature of

Date IN OUT of Cooperating Date IN OUT of Cooperating Date IN OUT of Cooperating
Hours Teacher Hours Teacher Hours Teacher
Signature of Student Signature of Student Signature of Student
Signature of Resource Teacher Signature of Resource Teacher Signature of Resource Teacher

Olongapo City Sports Complex, Donor St.,East Tapinac, Olongapo City Olongapo City Sports Complex, Donor St.,East Tapinac, Olongapo City Olongapo City Sports Complex, Donor St.,East Tapinac, Olongapo City

:___________________________ :___________________________ :___________________________


Tapinac Oval Sports Complex, Donor St.,East Tapinac, Olongapo City Tapinac Oval Sports Complex, Donor St.,East Tapinac, Olongapo City Tapinac Oval Sports Complex, Donor St.,East Tapinac, Olongapo City

:___________________________ :___________________________ :___________________________


Olongapo City Sports Complex, Donor St.,East Tapinac, Olongapo City Olongapo City Sports Complex, Donor St.,East Tapinac, Olongapo City Olongapo CitySports Complex, Donor St.,East Tapinac, Olongapo City

:___________________________ :___________________________ :___________________________


Gordon College Gordon College Gordon College

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Gordon College Gordon College Gordon College

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Republic of the Philippines Republic of the Philippines Republic of the Philippines

City of Olongapo City of Olongapo City of Olongapo

Name of Observer :_____________ Name of Observer :_ Name of Observer :_______________

Number Signature of Number Signature of Number Signature of

Signature of Student Signature of Student Signature of Student

Signature of Resource Teacher Signature of Resource Teacher Signature of Resource Teacher

Name of Observer :_____________ Name of Observer :_ Name of Observer :_______________

Number Signature of Number Signature of Number Signature of

Signature of Student Signature of Student Signature of Student

Signature of Resource Teacher Signature of Resource Teacher Signature of Resource Teacher

Name of Observer :_____________ Name of Observer :_ Name of Observer :_______________

Number Signature of Number Signature of Number Signature of

Signature of Student Signature of Student Signature of Student

Signature of Resource Teacher Signature of Resource Teacher Signature of Resource Teacher

Name of Observer :_____________ Name of Observer :_ Name of Observer :_______________

Number Signature of Number Signature of Number Signature of

Signature of Student Signature of Student Signature of Student

Signature of Resource Teacher Signature of Resource Teacher Signature of Resource Teacher

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