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Academic Year Field Placement Form

Student Information
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Class Format
Program





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Placement Information
Request
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Please provide the names of three different school districts and three schools within each desired school district where you would prefer to complete the field experiences for the selected courses above.
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Are you employed in any of the above Districts/Schools?
Are any immediate family members attending or employed in the District/Schools listed above?
Below are the policies governing the Field Placement process. Before submitting your request, please acknowledge and adhere to the following: