Public School Site Request

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Candidates may request a public school site for the completion of most of the requirements of Fieldwork II (SPED 612/616) and Final Student Teaching (SPED 613/617). Candidates may need to visit other sites to complete course and clinical experience assignments.

Candidate's Name *

Horizon Email *

Phone number *

District and Name of School *

Position *

Site address, Phone *

Name and contact information for Site Administrator *

Rationale for Request *

Demographics of School Site *

Name of (Mentor) Cooperating Teacher and Position *

Special Education Services available at Site *

Inclusive and other student support services available at Site *

Submit

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