Please r eturn c ompleted f orms t o U ESF
Teacher: _ __________________________________________
Executive V ice P resident S olomon b y e mail a t
School: _ ____________________________________________
o r b y f ax a t 4 15-‐ 9 56-‐8374.
Grade L evel: _ ______________________________________
Date
Start t ime
Location:
Item:
End t ime
Total m in
School ( s)
-‐scoring ( s)
Home ( h)
-‐inputting d ata ( i)
Coffee s hop ( c)
-‐printing r ep. c ards ( p)
-‐writing s td. c mmts ( w)
-‐assessing ( a)
e.g.
3:40
s
s
4:40
60 m in
UESF W ork L og T emplate f or B ilingual &
Biliteracy T eachers
Total t ime: _ ________hours _ __________ m ins