SHARED TIME REPORTING
2014-2015
MONTH
Shared time is the time that home school or private school students spend taking classes in the
North Clackamas School District.
Please keep a log of these hours and send to Sandra Henderson monthly. Do not include any
special education services provided.
Fax 503-353-6007 or email to hendersons@nclack.k12.or.us after the last day of each month.
Thank you!
Student Name:
Pupil ID Number:
School providing services:
Class taken:
MON
Date:
Hours:
Date:
Hours:
Date:
Hours:
Date:
Hours:
Date:
Hours:
TUES
WED
THU
FRI
Total
Hours