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Directions: Candidates should use this log to document time spent in clinical placemeni, Every visit should be
logged. You may need a different form for each course; ask your course instructor. Maltiple copies of the form \
may be used to log all visits,
At the end ofthe semester: 1) upload your School Experiences Log In your Field Experiences portfolio on
‘Taskstream. For directions on how to access the Field Experiences portfolio, go to hip: Uleducation unce.edulfe
‘and click on the “Early Clinical Experiences” tab. Then click the “Tasksiream Fleld Experiences Portfolio” link for
directions. 2) Follow any additional directions from your course instructor about submitting the form for
course requirements,
‘Candidate Name: Maloula Ray, 800% BOOGT2ZA7T2 |
Setoak Norah Mexourday |S CLAS |
‘Teacher Name: Us. Source Tascer ena ride ton. ipYe@CMp .A2,1C.Us |
| ‘Teacher Name: ‘Teacher email: t
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Date ‘Time Involved Purpose/Astivity(ies)
Teacher Signature
\ Ms
2 Shs \MB Oirncer
Sept 2 tla = JAB Gmnicats
sept. 20 Zefp—
PU - sre (MB Urneas
SOx. (0 \cals
Ock \3 LG awe MB CW
od. 24 BAA ang me ownicoss
per. 26 PVP rns yg cinier’s
Oct. 3h Fr line | ue ceicas
Nov. 2 gn Bhs wie aurica