GSSC Student Record

For IREX to be aware of any withdrawal of students during the program, facilitators are required to fill in the table as
per the below instructions and submit to IREX at the end of the program.

 Fill in the names of your students in the first column.

 Add a  or an X each week the student participated in that week’s session. (A  for students
who participated, an X for students who did not.)
 Write the word Withdrawn if the student left the program at any point.

Facilitator Name:

Institution Name:

Team Name/Number:

Student Name Week Week Week Week Week Week Week Week
1 2 3 4 5 6 7 8
1
2

10

11

12

13

14

15

16

17
18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

39

40