Clinical Experience Forms

Clinical Experience Forms

Request to Forward Fingerprinting and Background Check: Fingerprinting and Background Request Form.  After you receive your assignment, complete the to forward the results of your background check to your assigned district. You may bring the completed form to the Education office to be faxed.

Clinical Experiences Evaluation Rubric: This form is the host teacher’s assessment of your performance in your clinical assignment. It is completed by your host teacher at midterms and at the end of the semester.

Clinical Experiences Evaluation Rubric (DOC)
Clinical Experiences Evaluation Rubric (PDF)

Clinical Experience Practicum Record Sheet: The Clinical Experience Practicum Record Sheet is like a timecard that keeps track of your time at your host school.

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