Clear Form
Practicum Timesheet
USC Aiken School of Education
Practicum Student: ____________________________
Major:____________________________
Cooperating School:___________________________
Semester: _________________________
Cooperating Teacher: __________________________
Grade/Subject: _____________________
Dear Cooperating Teacher,
Thank you for permitting this practicum student to observe in your classroom. The USCA
School of Education appreciates your assistance in the training of our teachers. Please initial the
timesheet below at each of the student’s visits and sign on the back at the completion of the
practicum. The USCA student is responsible for returning this sheet to the instructor.
Thank
you!
Time Sheet
Date:
Time In:
**Continued on back**
Time Out:
Total Hrs/Mins:
Student Initials:
Teacher Initials:
**Continued from front**
Date:
Time In:
Time Out:
Total Hrs/Mins:
Student Initials:
Teacher Initials:
**Be sure to include time listed on front of time sheet in total.**
Total Observation Time: _______________ Student Initial: _________
Teacher Initial: _________
Comments:
Teacher’s Signature: ______________________________
Instructor’s Signature: ____________________________