SAMPLE
Cooperative Education-Job Training Attendance Record

Name of Student: _____________________________________________________________
Home Phone #: _________________________Cell phone #___________________________
Training Agency: _____________________________________________________________
Agency Address: _____________________________________________________________
Agency Phone Number: _______________________________________________________
Type of Training: ______________________________Assigned Hours_________________

Date	Arrive (Time)	Leave (Time)	Total Hours	Wages	

					

					

					

					

					

					

					

					

					

____________________________________________	__________________
Signature of Student						Date

____________________________________________	__________________
Signature of Training Supervisor				Date