Instructor Attendance Record Template
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1INSTRUCTOR ATTENDANCE RECORD
CLASS NAME
INSTRUCTOR
: _______________________________________________________
: _____________________________________________
I
NSTRUCTOR: This form should be used to record attendance at each class session. Please return the completed form promptly after the completion of
t
he last session of your class. Any credit course meeting 8 weeks or longer MUST submit midterm grades and dates with this document.
T
his form is subject to a state audit.
DATE
GRADE
NAME
SESSIONS
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
VERIFICATION OF RESIDENCY: I have verified the information on the above student’s registration forms and verify
that
their addresses listed on the
forms
are also on the students driver’s license and/or state ID and/or voters registration card.
INSTRUCTORS SIGNATURE: ________________________________________________ DATE: ________
____
_____________________
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