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#ED3 Collin College Education Student Time Sheet Documentation Log ‘Complete a separate Documentation Log for EACH course requiring an Education field-based experience! Student Name_ Kathy Roarle Semester Fall 2O0\Mo EDUC Course & Number EDUC. 1301. BX Professor’Dr, Reloecea Burten/Glenda Strange. Is/School/Teacher Name Yaspev/ Baker/pus Moryis Telephone Number: 5/2 (035 - (64 75 For ‘Owersing | ACtivities Signature of Teacher Date | Time | Time | Total | Soperiser: Supervisor present during In Out | Time Short summary of activity: student field based Stegent wes | (Example: assisted teacher, ete.) | experience WB ea [Ah Wie Ts lis 4 nes MA Frys hiss |uth, M3 bps hes ig |T45 |-45| "Fao |T45 |p45| as t15 le at i745 lies We [745 hias Va bry 5 lin We |745 145 Total Hours: 47 I certify that this is a true and accurate account of my Education field based experience hours. Student's Signature: A photocopy of this signed and completed form must be submitted on or before the due date indicated on the course syllabus in order to receive credit for the course. PHOTOCOPY AS NEEDED

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