Kentucky State University | Professor/Adjunct Contact Log (Dual Credit)

Date*Date of contact

Professor's Name*

Include prefix, first and last name (e.g. Dr. Jane Doe)

District and School*

Teacher's Name*

Include prefix, first and last name (e.g. Dr. Jane Doe)

Course*

Semester*

Fall

Spring

Year-long

Type of Contact*

Face-to-face meeting

Video conference

Phone conference

Classroom observation

Classroom presentation

Email/other electronic communication

Duration*

Less than 10 minutes

10-30 minutes

30-60 minutes

60-180 minutes

More than 3 hours

Nature of Contact/Summary*