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Instructions

Use this time log to track all teacher education field-based hours including any special education
observation hours and field experience hours.
Create a copy of this template and save the copy as your individual time log to either Google Drive
or Office 365. Instructions on how to share an editable file: Google Drive | Microsoft Office 365.
Share a link to your instructor so they may monitor your time
For each day: enter date, start time, end time, daily time completed, identify if Field Experience or
Special Education Observation by checking the associated box, provide a short description, and
retrieve teacher initials
At the end of the semester,
o Calculate your field experience, special education, and total hours.
o Sign time log
o Secure signature from teacher(s)
o Submit based on course instructions
Placement Information
Candidate Name Shelley Kaye Quema
Associated Course(s) EDUC 308 and EDLS 314 Semester Spring 2022
School District/Building Name Ogdensburg City District/John F. Kennedy Elementary
Mentor Teacher Name(s) Heidi Powers Grade(s) 3rd grade
Mentor Teacher Email (s) hpowers@ogdensburgk12.org

Time Log
Field
Experience
Start End Daily or Special Describe Experience/Tasks/Special Teacher
Time Time Time Education Education Observation Initials
FE
SE
FE
SE
FE
SE
FE
SE
FE
SE
FE
SE
FE
SE
FE
SE
FE
SE
Start End Daily Field Describe Experience/Tasks/Special Teacher
Time Time Time Experience Education Observation Initials

Center for School Partnerships and Teacher Certification


111 Satterlee Hall
Phone: (315) 267-3450 | Fax: (315) 267-3327
Email: teachereducation@potsdam.edu
Web: www.potsdam.edu/teachereducation
Revised 1/11/22
or Special
Education
FE
SE
FE
SE
FE
SE
FE
SE
FE
SE
FE
SE
FE
SE
FE
SE
FE
SE
FE
SE
FE
SE
FE
SE
FE
SE
FE
SE
FE
SE
FE
SE
FE
SE
FE
SE
FE
SE
Total Field Experience Hours [A]

Total Special Education Hours [B]

Total Hours [A+B]

Signatures
Date
Field Experience Candidate
Mentor Teacher Date
(Field Experience Hours)
Teacher Date
(Special Education Hours)

Center for School Partnerships and Teacher Certification


111 Satterlee Hall
Phone: (315) 267-3450 | Fax: (315) 267-3327
Email: teachereducation@potsdam.edu
Web: www.potsdam.edu/teachereducation
Revised 1/11/22

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