University of Alabama at Birmingham
SCHOOL OF EDUCATION
SPECIAL EDUCATION PROGRAM
ACKNOWLEDGEMENT OF CERTIFICATION AREA & TEACHING SCHEDULE
(For Hired Interns)
____________________________________ is currently hired at my school, will be completing his/her internship as a hired
(Name of Teacher/Intern)
intern in the field of ____________________, will be providing special education services as prescribed in student IEPs, and
will be teaching the following courses during his/her internship:
|Course Title for each Course Taught |LEAPS Code for each |Grade Level of |# of Periods per Day Course will be Taught|If class is an inclusive class, what is |
|(as it appears in teacher’s official |Course |Course |Attach a copy of the teacher’s current |the general education teacher’s name? |
|schedule) | | |daily class schedule to this form (e.g., | |
| | | |Per. 1 – 10-10:55am English I, Per. 2 – | |
| | | |11-11:55am Journalism, etc.) | |
| | | | | |
| | | | | |
| | | | | |
| | | | | |
| | | |How many class periods are in your | |
| | | |school’s daily schedule? | |
| | | |______________________ | |
I am aware that the ALSDE requires that special education student teachers have experiences providing special education services to children with disabilities from low and high incidence disability areas in order to receive Alabama Collaborative Teaching certification. For collaborative special education (K-6) programs, the internship shall include lower elementary (grades K-3) and upper elementary (grades 4-6) unless substantial field experiences were completed at both levels.
I am aware that the ALSDE requires that every intern teach (all day, every day, for 15 weeks) within his/her field of study and area of certification.
____________________________________________ ___________________________
Administrator Name (printed) Name of School
____________________________________________ ____________________
Administrator Signature Date
____________________________ ___________________________ _______________
Student Teacher Name (printed) Student Teacher Signature Date
REVISED: 05/22/12
-----------------------
Please provide one copy of this form to the Office of Clinical Experiences
(dhedge@uab.edu; Fax: 205-975-5693) prior to the applicable student teaching term.
................
................
In order to avoid copyright disputes, this page is only a partial summary.
To fulfill the demand for quickly locating and searching documents.
It is intelligent file search solution for home and business.
Related download
- sig lea application final
- questions and answers for leas and schools about alsde
- parents right to know
- us
- the alabama state department of education s alsde and
- 2002 2003 comprehensive system of personnel
- alsde powerschool newsletter 1 25 21
- university of alabama at birmingham
- requirements to drive a school bus in alabama
Related searches
- university of alabama dual enrollment
- university of alabama directory
- university of alabama student directory
- university of alabama webmail
- university of alabama store
- university of alabama gift store
- university of alabama bookstore online
- university of alabama store merchandise
- university of alabama college store
- university of alabama news
- university of alabama faculty search
- university of alabama staff directory