LOG B Candidate’s Name: Major: FIELD EXPERIENCE DOCUMENTATION FORM Please list all school districts in which you have completed a field experience within the last five years. Begin with your earliest field experience, e.g., the 30 hour observation requirement in “2113-Foundations of Education.” These activities include observations, practicum, teaching assignments (substituting may be included), volunteer assignments, tutoring, visitations, and student teaching. Continue on second page, if needed. UNIVERSITY SCHOOL TYPE OF GRADE NO. OF DATE OF COOPERATING COURSE DISTRICT EXPERIENCE LEVEL HOURS EXPERIENCE TEACHER’S OR SUBJECT (./YEAR) NAME Foundations of 20 Education Foundations of 10 Education Exceptional Working with students 5 Children with exceptionalities Media & Working with English 6 Technology Language Learners & incorporating technology 30 Teachers’ Course (K-12 and Secondary Majors only) CUMULATIVE NUMBER OF FIELD EXPERIENCE HOURS TO DATE: Based on NCATE Standard 3: Field Experiences and Clinical Practice
LOG B Candidate’s Name: Major: FIELD EXPERIENCE DOCUMENTATION FORM Please list all school districts in which you have completed a field experience within the last five years. Begin with your earliest field experience, e.g., the 30 hour observation requirement in “2113-Foundations of Education.” These activities include observations, practicum, teaching assignments (substituting may be included), volunteer assignments, tutoring, visitations, and student teaching. Continue on second page, if needed. UNIVERSITY COURSE SCHOOL DISTRICT TYPE OF EXPERIENCE GRADE LEVEL OR SUBJECT NO. OF HOURS DATE OF EXPERIENCE (./YEAR) COOPERATING TEACHER’S NAME Foundations of Education 20 Foundations of Education 10 Exceptional Children Working with students with exceptionalities 5 Media & Technology Working with English Language Learners & incorporating technology 6 Teachers’ Course (K-12 and Secondary Majors only) 30 CUMULATIVE NUMBER OF FIELD EXPERIENCE HOURS TO DATE: Based on NCATE Standard 3: Field Experiences and Clinical Practice