Attendance Form

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(Intern:  Open a new Word document. In Page Setup, choose Landscape, not Portrait, and 1" margins all around. Copy the following & paste into your Word document.)

ATTENDANCE FORM

All information (except signatures) should be legibly printed. Your internship is not considered completed unless your Attendance Form
and any course requirements specific to the internship are submitted by the due date.  

Intern Name____________________________________________ TJC Course_____________________ Semester/Year___________

District & Specific Campus _________________________________ Campus Supervisor's Name ________________________________

Date

Time In

Time Out

Total Hours

Activity

Grade Level

Teacher/Supervisor Signature

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total Number of Hours  

 

(Intern: You must add up your hours & total must equal a minimum of 16 hours.)

TJC Professor__________________________________________________ Phone __________________________

Supervisor: Did you note any weaknesses in the intern which should be addressed prior to another visit to your campus?
If so, please call the intern's professor listed above.