Information For:

Teacher Education

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NAME:
ID#:
CAMPUS PO BOX OR STREET:
CITY:
STATE:
ZIP CODE:
To meet the 30 hour minimum fieldwork requirement in a teaching-learning etting, I plan to arrange the following volunteer activity:
NAME OF SITE OR SCHOOL:
STREET:
CITY:
STATE:
ZIP CODE:
NAME OF TEACHER, PRINCIPAL, OR SUPERVISOR:
DATES PLANNED AND APPROVED BY SCHOOL:
NUMBER OF HOURS DAILY:

DESCRIPTION OF EXPECTED ACTIVITIES:
(age, grade level, teaching-learning, etc.)

I am currently registered for Educ091 Fieldwork in Education.

Teacher Education
845.575.3028