Daily Student Log Sheet printable pdf download

Daily Student Log Sheet

D D D D

S S S S

L L L L

S S S S

AILY

TUDENT

HEET

Educational Institution/Organization: _____________________________________________________________________

Academic Term and Year: Winter 20_____ | Spring 20_____ | Summer 20_____ | Fall 20_____ | Other________

Program: _____________________________________ | Start Date: ____/____/______ End Date: _____/_____/______

SOMC Unit/Department: ________________________________________ | Instructor on-site: YES______ NO_______

YES______ NO_______

Instructor Name: ______________________________________________________ | Cell # (

) _______-__________

Instructor Signature_____________________________________________________________________________________

Write in assignment or rotation dates that you are at SOMC

⇒

For each date, enter an X X X X or a check mark if student is present in the box on the same line as their name.

⇒

If the student is absent enter an A A A A .

⇒

S S S S

N N N N

TUDENT

AME

For additional names or dates, use a new form. Log sheets must be revised as changes occur.

Daily Student Log Sheet