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ATTENDANCE FORM FOR TYLER JUNIOR COLLEGE FIELD BASE EXPERIENCE
	All information (except signatures) should be legibly printed. Your Field Base Experience is not considered completed unless your Attendance Form and any course requirements specific to the experience are submitted by the due date.ΚΚ FBE Student Name____________________________________________ TJC Course_____________________  Semester/Year___________ District & Specific Campus _________________________________ Campus Supervisor's Name ________________________
		Date          Time          Time          Total                                Activity                                Grade              Teacher/Supervisor                       In              Out          Time                                                                              Level                   Signatue
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You must add up your hours & total must equal a minimum of 16 hours.  TOTAL HOURS:  ______________ TJC Professor__________________________________________________ Phone __________________________ Supervisor: Did you note any weaknesses in the education student which should be addressed prior to another visit to your campus? If so, please call the intern's professor listed above.  Thank you for allowing us to have this experience on  your campus.