Fieldwork Help Ticket

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Mary Baldwin invites you to fill out this help ticket if you have any questions or concerns during the fieldwork experience. The help ticket can be filled out by a MBU student, host teacher, university supervisor, or other personnel involved in the fieldwork. All questions will initially be received by the Field Placement Coordinator and will be distributed to appropriate personnel, as identified by you.

If you have any questions, please contact Pari Paluszak, Field Placement Coordinator, at plpaluszak@marybaldwin.edu or 540-887-7186.

Your name: *

Your role in the MBU fieldwork: *

student teacher/fieldwork student

host teacher (cooperating or mentor)

univeristy supervisor

course instructor

Other:

If you are a MBU student, please identify your academic advisor's name.

To whom should your inquiry be directed? *

Field Placement Coordinator

Director of Teacher Education

Academic Advisor

Supervisor/course instructor

Other:

Please include your question or a description of the concern you would like addressed. *

How would you like a reply? *

phone

Please provide your contact information (email or phone number) *

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