Chemistry Office Hours Log (JReisener)
NOTE:  YOUR GRADE WILL NOT BE ADJUSTED UNTIL YOU COMPLETE THIS FORM FOR OFFICE HOURS.  DO NOT FORGET TO COMPLETE THE CHECKOUT TIME AND SUBMIT THIS FORM!
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Email *
What is your name? (Last, First) *
Check in date *
MM
/
DD
/
YYYY
Check in time *
Time
:
Purpose for visit *
Please identify the quiz, test, lab, or assignment you are making up or reviewing or describe the topic for which you need assistance. *
Note, comment, or reminder for Mrs. Reisener *
Check out time *
Time
:
A copy of your responses will be emailed to the address you provided.
Submit
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