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TEACHER Appendix G — Practicum Placement Log EDUCATION Practicum Placement Log ea h la 5 docltY —mactynonone 2/12/20 2 sent Name_N( Cours stro. (a faramconel eleven Fall Placement School Cooperating Teacher's Cooperating, Name, t {Log the date and time ofeach field experience. The cooperating teacher's signature is required after each vist Cooperating | wesror| pate | rimein_| timeout _| How rSineture Hoe parte -7"90" 15 a 10/721 B 30. 4 — Weta ee as 350 A Cooperating Teacher: Please ratc the student in the areas below by placing an “X” next to the appropriatelevel. COOPERATING TEACHER EVALUATION _ 7 ‘Not met Met Exceeds | ‘Comments Shows Tnitiative and | v | atheism | Aieadance and Punctuality | ‘Professional Attire and J Benavior Conan vet ae ‘Students: Please indicate ALL placements for the current tem, Cooperating Teach ‘Student Teacher Signature: ‘Term | Course | Professor | Number of | — School Placement Cooperating Requiring Required ‘Teacher Field Hours Experience Ha ee eee | Ee iolphin hay eR Practicum hours cannot be completed on Early Release or Teacher Planning days, Each field work visit must be completed during regular teacher work hours. “All TEP students must submit this form in LiveText™™*

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