CLINICAL EDUCATOR REGISTRATION - Florida Atlantic …
CLINICAL EDUCATOR REGISTRATION – PRACTICUM STUDENT
A Certificate of Participation will be issued to each clinical educator for his/her participation after receiving THREE students enrolled in a Practicum Course for a degree program in the Department of Teaching and Learning. It entitles the recipient to register at any state university in Florida without payment of tuition for ONE semester for up to six semester credit hours. The certificate is NON-TRANSFERABLE. Please secure it in a safe place as lost certificates cannot be replaced.
Clinical Educator Information:
Name ___________________________ Social Security # (Required by state)
Phone #: Professional Email Address ________________________________________
Mailing Address
District ___________________ School Name
School Address
Developing Teacher Information:
Name Semester __ Fall __Spring Year
Name Semester __ Fall __Spring Year
Name Semester __ Fall __Spring Year
1. Complete this form in its entirety. Please wait until all three FAU students have completed the clinical experience prior to submitting the application.
2. Attach photocopies of Final Evaluation form for each student.
Submit this form and students’ final evaluations to:
Please FAX or SCAN to the Office for Clinical Experiences:
Palm Beach, Indian River, Okeechobee, St. Lucie, Martin
Fax: (561) 297-2991 or Email: stuteach@fau.edu
Broward and Miami-Dade Counties
Fax: (954) 236-1022
I certify that I have either attended an orientation meeting for Clinical Educators within the last twelve months or reviewed all materials available on the FAC Clinical Educator Orientation web page at the start of the current semester.
______________________________________ __________________
Clinical Educator’s Signature Date
................
................
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 searches
- florida educator license lookup
- florida educator lookup
- florida educator certification lookup
- florida educator certification application
- florida doe educator lookup
- florida educator certification
- valid florida educator certificate
- florida educator certificate lookup
- florida bureau of educator certification
- florida educator certification renewal requirements
- certificate of registration florida business
- florida professional educator certificate