APPLICATION FOR FIELD EXPERIENCE IN EARLY CHILDHOOD …
Semester: Year:
Name: ID #:
Local Address:
Email: Phone Number(s):
Indicate below which field work you are applying for:
EDUINDP 443 section 2; 1 unit corresponds with EDUINDP 442 Planning for Individual Needs
EDUINDP 443 section 1; 1 unit corresponds with EARLYCHD 320 Curr./Progr.: Ages 3-8
EDUINDP 443 section 1; 1 unit corresponds with EDUINDP 452 Integrated Curriculum for Children 6-8
List any programs where you have been previously employed, completed volunteer hours, or fulfilled course requirements:
|Program Type |Level |Location |Teacher |Dates/Hrs. |
|(i.e. preschool, Head |(age of children, grade | | | |
|Start, birth to three, |level, special ed., | | | |
|child care, Kindergarten,|regular ed.) | | | |
|Early Elem.) | | | | |
| | | | | |
| | | | | |
| | | | | |
| | | | | |
| | | | | |
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| | | | | |
List your preferences for your Special Education field placement:
| |City |School |Grade Level |
|Preference #1 | | | |
|Preference #2 | | | |
|Preference #3 | | | |
Do you have a car? yes no If yes, are you willing to transport other students? yes no
How many passengers can ride with you ?
If you have further questions or concerns about your placement or requirements, see your instructor
Procedures for Processing Applications for Field Work Placements
• Students complete applications for field experiences and submit to instructor.
• The instructor contacts area schools (via the principal) and provides names of educators who are willing to work with students.
• Within the first two weeks of classes, the instructor announces available placements and assigns students to area schools.
• Final placements will be announced in the methods class corresponding with the field experience.
Notes:
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