Alternative Learning Opportunity Documentation Log
Please complete Section #1 (required), got to the bottom of the second page to click submit. You do not need to answer those questions. They will be initialed and signed by NDA staff once documentation is printed.
Name:
Your answer
Description of Learning Opportunity
(Example: Class, Course, Book Read, Documentary watched)
Your answer
Date:
MM
/
DD
/
YYYY
Time Started Activity:
Time
:
Time Finished Activity:
Time
:
Total Time:
Hrs
:
Min
:
Sec
Student Initials:
Your answer
Parent Initials:
Your answer
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