Fillable Observation and Fieldwork Log

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Observation and Fieldwork Log

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The Observation and Fieldwork Log form is 2 pages long and contains:

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  • 97 other fields

Country of origin: US
File type: PDF

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Early Childhood Education
Observation and Fieldwork Log
It is the responsibility of the student to obtain the required number of observations and return the completed observation log to their ECE instructor.
STUDENT AND COURSE INFORMATION
To be completed by the student.
First Name MI Last Name Banner ID Number
Course Name Semester and Year Course Taken Faculty Member Name
SITE 1 INFORMATION
To be completed by the student.
Site Name Site Location (City/Town) NAEYC # (or other registry information)
Site Contact Name Contact Title Contact Telephone
To be completed by site contact.
Date Time In Time Out Total Time Site Contact Signature (required to verify site visit and times)
SITE 2 INFORMATION
To be completed by the student.
Site Name Site Location (City/Town) NAEYC # (or other registry information)
Site Contact Name Contact Title Contact Telephone
To be completed by site contact.
Date Time In Time Out Total Time Site Contact Signature (required to verify site visit and times)
SITE 3 INFORMATION
To be completed by the student.
Site Name Site Location (City/Town) NAEYC # (or other registry information)
Site Contact Name Contact Title Contact Telephone
To be completed by site contact.
Date Time In Time Out Total Time Site Contact Signature (required to verify site visit and times)
SITE 4 INFORMATION
To be completed by the student.
Site Name Site Location (City/Town) NAEYC # (or other registry information)
Site Contact Name Contact Title Contact Telephone
To be completed by site contact.
Date Time In Time Out Total Time Site Contact Signature (required to verify site visit and times)
December 2019/PR
SITE 5 INFORMATION
To be completed by the student.
Site Name Site Location (City/Town) NAEYC # (or other registry information)
Site Contact Name Contact Title Contact Telephone
To be completed by site contact.
Date Time In Time Out Total Time Site Contact Signature (required to verify site visit and times)
SITE 6 INFORMATION
To be completed by the student.
Site Name Site Location (City/Town) NAEYC # (or other registry information)
Site Contact Name Contact Title Contact Telephone
To be completed by site contact.
Date Time In Time Out Total Time Site Contact Signature (required to verify site visit and times)
SITE 7 INFORMATION
To be completed by the student.
Site Name Site Location (City/Town) NAEYC # (or other registry information)
Site Contact Name Contact Title Contact Telephone
To be completed by site contact.
Date Time In Time Out Total Time Site Contact Signature (required to verify site visit and times)
SITE 8 INFORMATION
To be completed by the student.
Site Name Site Location (City/Town) NAEYC # (or other registry information)
Site Contact Name Contact Title Contact Telephone
To be completed by site contact.
Date Time In Time Out Total Time Site Contact Signature (required to verify site visit and times)
SITE 9 INFORMATION
To be completed by the student.
Site Name Site Location (City/Town) NAEYC # (or other registry information)
Site Contact Name Contact Title Contact Telephone
To be completed by site contact.
Date Time In Time Out Total Time Site Contact Signature (required to verify site visit and times)
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Observation and Fieldwork Log

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Completed 25 July 2020

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