Diversity 4.d.1 Form

Field Experiences  & Clinical Practices

EDFN 295 (395) Pre-Admission Practicum

ELED or SEED or ECE 495 Pre-Student Teaching Practicum

Student Teaching Placement 1

Student teaching placement 2 (if applicable)

Student teaching placement 3 (if applicable)

Other Experiences such as: Teammates, tutoring, other courses, field trips, job experiences, etc.

Please take a moment to review the email address entered; if the email address is entered incorrectly, the form will not function properly.

Also, check that the correct name is selected for the Intern Name.