COLLEGE OF ARTS & SCIENCES,
AND
EDUCATION
Office of Field Services and Professional Development Schools
2500 West North Avenue, Baltimore, Maryland 21216
Grace Hill Jacobs Room 709; (410) 951 – 3081
“Educator as Reflective Facilitator of Learning
Revised Fall 2015
FIELD EXPERIENCE TIMESHEET
Name: __________________________________________ Student ID#: _________________________
Course Enrolled: _________________________ Course Instructor: ____________________________
Field Experience Site: ______________________________________________________________________
P-12 Clinical Educator:______________________________________________________________________
Grade: ___________________ Subject: ___________________________________
Type of Experience Requested: (Check response) Observation (Early) Participation (Methods)
Semester Completed: Fall Spring Summer Year ____________________
DIRECTIONS to Pre/Candidate: Please complete this Timesheet each day you are in the field experience classroom.
Secure the P-12 Clinical
Educator’s (CE) initials after each entry. At the end of the experience, return the completed form
to your professor. (Additional directions on reverse side.)
Each course requires a SEPARATE Field Experience timesheet, which is to be submitted to the professor of record.
Date Time In Time Out # of Hours Description of Activities Completed CE’s Initials
_________ _________ _________ _________ ____________________________________ _______
_________ _________ _________ _________ ____________________________________ _______
_________ _________ _________ _________ ____________________________________ _______
_________ _________ _________ _________ ____________________________________ _______
_________ _________ _________ _________ ____________________________________ _______
_________ _________ _________ _________ ____________________________________ _______
_________ _________ _________ _________ ____________________________________ _______
_________ _________ _________ _________ ____________________________________ _______
_________ _________ _________ _________ ____________________________________ _______
_________ _________ _________ _________ ____________________________________ _______
_________ _________ _________ _________ ____________________________________ _______
Total Hours Completed: _______________
Comments: ________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________
_______________________________ ___________ _____________________________ __________
P-12 Clinical Educator’s Signature Date Course Instructor’s Signature Date
click to sign
signature
click to edit
click to sign
signature
click to edit
COLLEGE OF ARTS & SCIENCES,
AND
EDUCATION
Office of Field Services and Professional Development Schools
2500 West North Avenue, Baltimore, Maryland 21216
Grace Hill Jacobs Room 709; (410) 951 – 3081
“Educator as Reflective Facilitator of Learning
Revised Fall 2015
Upon receipt of practicum assignment from the Director of Field Services and Professional Development
Schools:
Report to school assigned.
Meet with the P-12 Clinical Educator
and arrange a schedule that will accommodate your available time.
Discuss field experience activities with the P-12 Clinical Educator
in order that he/she will understand
the areas in which you will be evaluated. Refer to the Field Experience Manual for specific activities
required by each course with practicum requirements.
Return the Practicum Timesheet to your University Professor immediately upon completion and before
the end of the semester. If these forms are not submitted, you WILL NOT receive a grade for the
course. Your University Professor will forward the form to the Office of Field Services and
Professional Development Schools.
If you are unable to report to your assigned school at any time during this practicum experience,
please contact the P-12 Clinical Educator.
NOTE:
Pre-Candidate refers to the education major prior to admission to teacher education.
Candidate refers to the education major who is admitted to teacher education.
Practicum Supervisor is the P-12 teacher to whom the pre-candidate (early field experience) and candidate
(methods) is assigned.