EARL 263G Attendance Verification Form
Intern: _____________________ Coop Teacher: ____________________ Semester: _______
Lab Site: _______________________________ Director / Principal: ____________________
Weeks
Dates
Hours
Attended
Total
Required
Hours
1
____ to ____
10
2
____ to ____
20
3
____ to ____
30
4
____ to ____
40
5
____ to ____
50
6
____ to ____
60
7
____ to ____
70
8
____ to ____
80
9
____ to ____
90
10
____ to ____
100
11
____ to ____
110
12
____ to ____
120
13
____ to ____
130
14
____ to ____
140
15
____ to ____
150
Labs End
__________
150
Total Hours
Coop’s
Signature
150
Note: Write dates in column 2. Enter your weekly hours in column 3. Calculate your total hours to
date and enter in column 4. Column 5 shows the expected total hours by weeks. Get your
Cooperating Teacher’s signature in column 6 at the end of each week to verify attendance. At the
end of week 15 submit this form with your final lab. You MUST complete 150 hours of lab for
EARL 263G.