1
Lab Attendance Verification Form
Student Name: _________________________ Cooperating Teacher Name: _____________________ Lab Site: _____________________
Course-Section: ________________________ Semester-Year: _______________________________ Instructor Name: _______________
Lab
Number
/Date
Time
In
Time
Out
Total
Hours
I Plan to…
I did…
Cooperating Teacher’s Signature
2
Lab
Number
/Date
Time
In
Time
Out
I Plan to…
I did…
Teachers Signature
Total Hours Completed: ______________________ Cooperating Teacher Signature: ______________________________
Instructor Signature: ___________________________
Note for Students:
Get your Cooperating Teacher’s signature at the end of each weekly lab to verify attendance.
Submit this form at the end of lab 10.
Lab attendance and lab assignments are required for successfully completing this course.