Outside Educational Attendance Log

Please submit the form within seven days after the event with information on the event (e.g., brochure, program, etc., if applicable). Submit a copy of the form to your field instructor.

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Name:
E-mail:
Event Title:
Event Sponsor:
Date(s):
Time:
Name of Field Instructor for Approval
Counted Time for This Event:
Total Time Accrued This Year:
Briefly describe the event.
If the same event is offered the next year, will you recommend it to the IAP students?