FIELD PLACEMENT TIME VERIFICATION SHEET
EDU 204 FH  Spring 2013

STUDENTS MUST BE AT SITE SIX (6) HOURS PER WEEK DIVIDED INTO TWO (2) MORNINGS DURING SEMESTER (BASED ON COLLEGE CALENDAR) WITH TOTAL OF AT LEAST 90 HOURS PER SEMESTER. STUDENTS MUST AVOID CONSECUTIVE DAYS AND BE SURE TO BE AT THEIR SITE DURING INSTRUCTIONAL TIME.  THE COOPERATING TEACHERS MUST SIGN THIS SHEET EACH DAY AND THE STUDENTS MUST ALSO SIGN IN AT THEIR SITE�S VISITOR SIGN-IN SHEET AS WELL.


STUDENT ___________________________________   SITE_______________________________________________


Week of 1/14                     
Date
Arrival Time
Departure Time
Hours Today
Teacher�s Signature















		     
			 Week #1 Hours __________	

Week of 1/21                      			  			
Date
Arrival Time
Departure Time
Hours Today
Teacher�s Signature















		
		                Week #2 Hours __________
			 
Week of 1/28    
                 Date
Arrival Time
Departure Time
Hours Today
Teacher�s Signature















		
		               Week #3 Hours___________

Subtotal Page #1 Hours  _____________

Week of 2/4                    

Date
Arrival Time
Departure Time
Hours Today
Teacher�s Signature















	
		                Week #4 Hours ________
Week of 2/11  		
Date
Arrival Time
Departure Time
Hours Today
Teacher�s Signature
















										                     Week #5 Hours ________
Week of 2/18                     	
	Date
Arrival Time
Departure Time
Hours Today
Teacher�s Signature















										
										                       Week #6 Hours _______
*Week of 2/25	
Date
Arrival Time
Departure Time
Hours Today
Teacher�s Signature
















									                                     Week #7 Hours________	
Week of 3/4		
	Date
Arrival Time
Departure Time
Hours Today
Teacher�s Signature















												Week #8 Hours ____
Subtotal Page #2 Hours ____________

Total Mid Semester Hours ______________(Should be at least 42 hours)
*Copy this page and hand in to Mrs. Mirecki by 3/4.
*Be sure to check site�s schedule for Spring Vacation!

Week of 3/11	

Date
Arrival Time
Departure Time
Hours Today
Teacher�s Signature
















									                                     Week #9 Hours _______


Week of 3/18	(SUNY Spring Break)	

Date
Arrival Time
Departure Time
Hours Today
Teacher�s Signature
















									                                      Week #10 Hours ______


Week of 3/25
Date
Arrival Time
Departure Time
Hours Today
Teacher�s Signature















              
              							                                     Week #11 Hours ______				          				
Week of 4/1
Date
Arrival Time
Departure Time
Hours Today
Teacher�s Signature
















									                                      Week #12 Hours______		
Subtotal Page #3 Hours _______________

*You should have at least 66 hours!!!*
Week of 4/8 
           Date
Arrival Time
Departure Time
Hours Today
Teacher�s Signature















	
	                                     Week #13 Hours ______   
  Week of 4/15                 
	Date
Arrival Time
Departure Time
Hours Today
Teacher�s Signature















								
								                                     Week #14 Hours ______
Week of 4/22												
Date
Arrival Time
Departure Time
Hours Today
Teacher�s Signature
















									                                      Week #15 Hours ______
Week of 4/29   
Date
Arrival Time
Departure Time
Hours Today
Teacher�s Signature
















							                                      Week #16 Hours ______

Week of 5/6 (if needed)  

Date
Arrival Time
Departure Time
Hours Today
Teacher�s Signature
















								          
FINAL TOTAL = _________ Hours