Course Hero Logo

FFD6A30C-4AF8-4C3B-94E5-CEE074111AD7_637490984947737681.pdf...

Course Hero uses AI to attempt to automatically extract content from documents to surface to you and others so you can study better, e.g., in search results, to enrich docs, and more. This preview shows page 1 - 4 out of 5 pages.

CLINICAL FIELD EXPERIENCE VERIFICATION FORMCANDIDATE NAMESTUDENT NUMBERPROGRAM:COURSE:START DATE:END DATE:PRACTICUM/FIELD EXPERIENCE FACILITY NAME:SCHOOL STATE:MENTOR NAME:TOTAL PRACTICUM/FIELD EXPERIENCE HOURS REQUIRED:TOTAL PRACTICUM/FIELD EXPERIENCE HOURS COMPLETED:Toni RussoBachelor of Science in Elementary Education and Special EducationAZLindsay McQuerrySPD-310: Collaborations and Communications in Special Educ5.0012/14/20202/21/2021Grand Canyon University206982085
Clinical Field Experience Verification FormPlacement Course TitleCANDIDATE INFORMATIONLast NameFirst NameStudent NumberCandidate Program of StudyCOURSE INFORMATIONFACILITY INFORMATIONFacility NameType of FacilityFacility SettingOther FacilityAddressCityStateZip CodeCountrySCHOOL INFORMATIONSchool ClassificationTitle One (I)School DistrictPrincipal/Administrator NamePrincipal/Administrator PhonePrincipal/Administrator EmailBachelor of Science in Elementary Education and Special EducationAZSPD-310: Collaborations and Communications in Special EducationGrand Canyon University20698208Not labeledN/An/an/an/aRussoUrban3300 W Camelback RdPhoenixUnited States[email protected]Toni85017Other
Clinical Field Experience Verification FormMENTOR INFORMATIONThis is the person directly supervising the practicum/field experience activities. Note: This is NOT the GCUcourse instructor. Example: Teacher, Administrator, Director, etc.Mentor NameMentorEmailAddress*Mentor PhoneNumberMentor GradeLevel*School/Work Email address requiredPRACTICUM INFORMATIONActivities

Upload your study docs or become a

Course Hero member to access this document

Upload your study docs or become a

Course Hero member to access this document

End of preview. Want to read all 5 pages?

Upload your study docs or become a

Course Hero member to access this document

Term
Fall
Professor
N/A
Tags
Individualized Education Program, Candidate Program, Toni Russo, Lindsay McQuerry

Newly uploaded documents

Show More

Newly uploaded documents

Show More

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture