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Student Teacher / Field Experience Student / Internship / Observation Request Form
Please complete this form if you wish to complete student teaching and/or a field experience placement at Calhoun City Schools. In addition to the form submission, please complete the online application at
www.calhounschools.org
and email Jaime Garrett at
garrettj@calhounschools.org
and Cindy Meadows at
meadowsc@calhounschools.org
.
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* Indicates required question
Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Field Experience / Student Teacher Email
*
Your answer
Field Experience / Student Teacher Phone Number
*
Your answer
Type of Placement request with Calhoun City Schools
*
Field Experience (part-time placement)
Student Teacher (full-time placement)
Internship
Observation
Name of supervising college / university:
*
Your answer
Name of Supervising College Personnel
*
Your answer
Email of Supervising College Personnel
*
Your answer
Phone Number of Supervising College Personnel
*
Your answer
Start Date of Placement
*
MM
/
DD
/
YYYY
End Date of Placement
*
MM
/
DD
/
YYYY
Content Area of Placement
*
Your answer
Requested Grade Level(s) of placement
*
Your answer
List any details of the placement and/or special requests:
*
Your answer
Supervising Teacher First / Last Name (state NA if you are not currently assigned)
*
Your answer
A copy of your responses will be emailed to the address you provided.
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