PBA and Fieldwork Guidelines â ESOL - FAST TRAIN Program

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FAST TRAIN ProgramsFieldwork Placement ConfirmationIf you are currently employed or have a field site arranged please send the followinginformation via email to the Field Coordinator, Jill Macioch, at gmacioch@gmu.eduNLT September 1 st for Summer/Fall and February 1 st for Spring courses.School Name:Address:Accrediting Agency:Principal or Head of School:Site Supervisor or Cooperation Teacher:Credential Supervisor/Teacher Holds:4400 University Drive, MS 1E8, Fairfax, Virginia 22030Phone: 703-993-2794; Fax: 703-993-5771In addition, for those who are completing field experience during employment (for exampleteaching assistant), attach a signed letter from your principal or supervisor that indicates theirunderstanding of the field experience requirements and their willingness to let you completethe field experience portion of your coursework while employed. Sample letter is below.****************************************************************Permission to complete field experience assignmentsI understand and am willing to comply with the field experience assignments as required byGeorge Mason University. I am willing to allow______________________________________(name of student/teacher) to complete a total of _________ hours of field experience in myschool.Name:School:Supervising Teacher:Contact information:Phone:_______________________E-mail: __________________________________________________________________Signature of Responsible School Personnel_____________________________Date6
Mason Student:_______________________________G number:Course:______________________________________________________________Field Experience RecordCooperating Teacher:______________________________Title:Years of Experience:__________________________________________________________Semester: _______________________________To the Cooperating Teacher:Degree/License: ______________________________Please sign signature column to indicate that the student completed field experience in your classroom. Please make any additional comments onthe back of this sheet. Thank you for your time, effort and support in this endeavor.Date Grade Subject or Action SchoolHoursObservedTeacher SignatureStudent's Signature:4/24/2014Date:7
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PBA and Fieldwork Guidelines â ESOL - FAST TRAIN Program

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PBA and Fieldwork Guidelines â ESOL - FAST TRAIN Program