Sample Class Roster Template
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1Page ____of_____
East Texas Baptist University
CLASS ROSTER
CLASS ROSTER FOR COURSE: ___________________________________________________
CIRCLE MINI-TERM:
FALL CIM 1
FALL CIM 2
FALL CIM 3
SPRING CIM 4
SPRING CIM 5
SPRING CIM 6
YEAR______ LOCATION_____________ SITE COORDINATOR:_______________________
STUDENTS ATTENDING
DATE:________________________
Print Name
Signature
Social Security #
______________________ ________________________ _____________________
______________________ ________________________ _____________________
______________________ ________________________ _____________________
______________________ ________________________ _____________________
______________________ ________________________ _____________________
______________________ ________________________ _____________________
______________________ ________________________ _____________________
______________________ ________________________ _____________________
______________________ ________________________ _____________________
______________________ ________________________ _____________________
______________________ ________________________ _____________________
______________________ ________________________ _____________________
TOTAL NUMBER OF STUDENTS IN ATTENDANCE __________ CLASS DATE _________________
SIGNATURE OF INSTRUCTOR ________________________________ DATE ______________________
Revised 8-07
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