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
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Total Hours Completed: _______________
Comments: ________________________________________________________________________________
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_______________________________ ___________ _____________________________ __________
P-12 Clinical Educator’s Signature Date Course Instructor’s Signature Date
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