Sign-in Sheet for Level I Fieldwork

Student Name:___________________________________________________________________

Site Name: ______________________________________________________________________

Fieldwork Educator(s) Name(s):____________________________________________________

Rotation:________________________________________________________________________

Date: Sign-In Time Sign-Out Time Total Hours
       
       
       
       
       
       
       
       
Total Hours      

 

Student’s Printed Name                                                                               Fieldwork Educator’s Printed Name

________________________                                                               ___________________________

Student’s Signature                                                                                       Fieldwork Educator’s Signature

________________________                                                                                ___________________________

Date:____________________                                                                                Date:_______________________