UNIVERSITY OF CALIFORNIA, SANTA CRUZ ED 180 Observation Log

Name                                                                                    
School                                                                                  
Observation Teacher (s) Name:                                    
Observation Teacher (s) Phone:                                 

School Visit  1   Date                 Hours                       TEACHER Signature                                                          

School Visit  2    Date                 Hours                       TEACHER Signature                                                         

School Visit  3    Date                 Hours                       TEACHER Signature                                                        

School Visit  4    Date                 Hours                       TEACHER Signature                                                         

School Visit  5    Date                 Hours                       TEACHER Signature                                                         

School Visit  6    Date                 Hours                       TEACHER Signature                                                         

School Visit  7    Date                 Hours                       TEACHER Signature                                                         

School Visit  8    Date                 Hours                       TEACHER Signature                                                         

School Visit  9    Date                 Hours                       TEACHER Signature                                                         

School Visit  10   Date                 Hours                       TEACHER Signature                                                        

School Visit  11   Date                 Hours                       TEACHER Signature                                                        

School Visit  12   Date                 Hours                       TEACHER Signature                                                        

School Visit  13   Date                 Hours                       TEACHER Signature                                                        

Total Hours of Observation (minimum of 30)                                   

Please use other side to record any additional visits. 

Comments from Observation Teacher (Optional):