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Daily Time Record Certification Form

The document is a daily time record template with fields for a student's name, program, cooperating school, assigned cooperating teacher and spaces to log time in and out over multiple days along with remarks from the cooperating teacher.

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Donna Vi Yuzon
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24 views2 pages

Daily Time Record Certification Form

The document is a daily time record template with fields for a student's name, program, cooperating school, assigned cooperating teacher and spaces to log time in and out over multiple days along with remarks from the cooperating teacher.

Uploaded by

Donna Vi Yuzon
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd

DAILY TIME RECORD DAILY TIME RECORD

Name: _______________________________________ Name: _______________________________________

Program: _____________________________________ Program: _____________________________________

Cooperating School: ____________________________ Cooperating School: ____________________________

Assigned Cooperating Teacher: ___________________ Assigned Cooperating Teacher: ___________________

No MM/ TIME TIME REMARKS/Cooperating No. MM/ TIME TIME REMARKS/Cooperating


DD/ IN OUT Teacher's Initial DD/ IN OUT Teacher's Initial
YYYY YYYY

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I hereby certify on my honor that the above information is FS Student
true and correct report of the hours per which was made
daily from the time of arrival and to the time of departure I hereby certify on my honor that the above information is
from the office certified by: true and correct report of the hours per which was made
daily from the time of arrival and to the time of departure
____________________________________ from the office certified by:

FS Instructor/Professor _______________________________________

_______________________________________ FS Instructor/Professor
Cooperating Teacher _______________________________________

___________________________________ Cooperating Teacher


______________________________________
FS Student

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