Fillable Course Instructors Report (Bucks County Community College)

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Course Instructors Report (Bucks County Community College)

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File type: PDF

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Bucks County Community College
Department of Public Safety Training and Certification
1760 South Easton Road
Doylestown, PA 18901
Ph: 215.340.8417
Fax: 215.343.6794
www.bucks.edu/publicsafety
Last Revised: October 2010
Course Instructor’s Report
(Separate report for each Instructor)
FSC:
Name of Instructor:
Name of Course:
Complete Address where course was held — including building name, street, city, and zip code.
Attendance
Date **Time Started **Time Ended
Number
Enrolled
Number
Dropped
Number
Absent
Number
Present
I certify that the above report is true and correct and that I conducted hours of training.
Signature of Instructor:
Address:
Bucks ID Number:
Document Check List
Submitted
Attached
To Follow
Total Hours
Rates Hours
Total Pay
Check #
Contract:
Enrollment Forms:
Evaluation Forms:
Roll Sheet(s):
Course Supervisor:
Date Report Received:
Travel Expenses:
“Time Started”, “Time Ended”, and “Total Hours” must match contract. If
not Contact Bucks County Community College Dept of Public Safety
Training & Certification.
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Course Instructors Report (Bucks County Community College)

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Completed 3 October 2020

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