ACT 1776

Exhibit F

Record of Lead Teacher Visited Classes

 

Teacher: _____________________________________________________

Department : __________________________________________________

Classes Visited

Date/Period :

_________________________________         _________________________

_________________________________         _________________________

_________________________________         _________________________

_________________________________         _________________________

_________________________________         _________________________

 

_________________________________         _________________________
(Signature of Teacher)                                          (Signature of Lead Teacher)

_______________                                              ________________
(Date)                                                                   (Date)

 

Submit completed form to Academic Affairs Office at the end of each quarter.

cc: Academic Affairs


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