Student Teaching/practicum Monthly Timesheet
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1
2The City University of New York
Convent Avenue at 138
Street
th
The City College of New York
New York, New York 10031
SCHOOL OF EDUCATION
NAC 6/207A
OFFICE OF CLINICAL PRACTICE
212-650-6915
Fieldwork & Student Teaching
STUDENT TEACHING/PRACTICUM MONTHLY TIMESHEET
_____________________
MONTH/YEAR
Name ______________________________________________________________________________________ ID # (Last four digits) _____________
Last
First
Phone Number________________________Course # __________________________
College Supervisor _________________________________
School _______________________________________ Cooperating Teacher __________________________________
Grade Level ___________
* SPECIFY BRIEFLY, ONE LINE PER DAY
See back for description and sample
Date
TEACHING DUTIES
Hours
OBSERVATION
Hours
MISCELLANEOUS
Hours
Total:
Total:
Total:
Absences: 1.
2.
3.
4.
For office use:
TD
=_________
(Date)
(Date)
(Date)
(Date)
Obs. =_________
X
________________________________________________________
Misc. =_________
TOTAL =
Signature of School Representative
(Cooperating Teacher, Assistant Principal, Chairperson of Department)
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