Chesapeake College Education Department FIELDWORK LOG SHEET Each Inter must complete a minimum of 15 hours of fieldwork Name_E| Semester SPrica_Couse EG 1220 School Eastory Micleli@. County Tatoo Grade (44 Time In_| Time Out | Total Teacher Signature A@em| eon | tne [Aa Zen 1eM | the vZem | vem | ne ge Oe \22mn Pan inc — 12 PM, 1pm Ine | em | em | ne | AV 12 Gon | 18m ne [Az _| 120 iP Inc A wZem_ | 1pm \he 122M Lom Jar (22m | vem | the em | em | jae 2m Len tae yem {em | the ven _| PM ine (ATA Total Fieldwork Hours Completed (please caleulate)_ 1] Wouc S Intem Signature pare 4/25/24 Cooperating Teacher Signature q wt Ne Date Y / 26/23 Note: At the conclusion of the fieldwork, the Cooperating Teacher must return this completed form to the Coordinator of Field Experiences, along with the fieldwork Log Sheet — or hand them directly to ithe intern to submit. All forms may be mailed in the envelope provided or to the address below. Thank you for your time and willingness to assist a future teacher! Dr. Deanna Reinard Education Department Chesapeake College P.O. Box 8 Wye Mills, MD 21679