HOURS TOTAL 15 Phone: Phone: 14 Date Date Division: (1) (2) 13 School School School (1): (2): 12 Name Name (1): (2): 11 Subject Subject (1) (2) Teacher’s Teacher’s or or 10 Signature Signature Level Level 9 Cooperating Grade Cooperation Grade Teacher’s Teacher’s Supervisor: WEEKS 8 Cooperating Cooperating TIMECARD 7 Education Richmond of of REQUIRED 6 Zip: TEACHING University Department 5 Date Date Address: Address: 4 (1) (2) STUDENT 3 State: School School 2 1 accurate. is information Fall______Spring______ Initials above HOURS Signature Initials the Name: Name: Teacher’s HOURS (days/week) Signature Name: (days/week) that (1) (2) ____________ Teacher’s certify Year: Address: Observing Absences Email: City: Teaching Extracurricular TOTAL Tardies Student Phone: School School Preparing Cooperating Supervisor’s Student Supervisor’s I
STUDENT TEACHING TIMECARD University of Richmond Department of Education Year: ____________ Fall______Spring______ School Division: Cooperating Teacher’s Name (1): Grade Level or Subject (1): Cooperation Teacher’s Name (2): Grade Level or Subject (2): School (1) Phone: School (2) Phone: TOTAL HOURS I certify that the above information is accurate. Date Date REQUIRED WEEKS 15 14 13 Cooperating Teacher’s Signature (1) Cooperating Teacher’s Signature (2) Supervisor: School (1) Address: School (2) Address: 12 11 10 9 Student Name: Email: Phone: Address: Zip: 8 7 Date Date 6 State: 5 4 Student Teacher’s Signature Supervisor’s Signature 3 City: School (1) Name: School (2) Name: 2 1 HOURS Observing Teaching Preparing Extracurricular TOTAL HOURS Absences (days/week) Tardies (days/week) Cooperating Teacher’s Initials Supervisor’s Initials
2014-15%20Handbook-FINAL%20COPY.docx