Practicum Application Fall 2021
This application is to gain registration approval for MED 6860, Practicum in Education.
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Email *
Name
W#
Phone number
Weber student email
Semester applying for
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License type
If secondary, what subject area?
Placement needed. Placement areas are in Ogden, Davis, or Weber School Districts.
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If placement is not needed, where are you currently teaching? Please give the address.
You may not be placed in the same schools with immediate family members. Please state any school they attend or work.
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