Internship II Virtual Classroom Record

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Please fill out this form for record of your attendance of observation in a virtual classroom for internship. To receive credit for virtual classroom attendance, this form must be submitted by 3:30 pm each day of observation. All attendance in a virtual classroom must be pre-approved by the Director of Teacher Education Student Services prior to attendance.

Intern's Last Name *

Intern's First Name *

Intern's T# *

Intern's Cell Number *

Please list your date of attendance. *

Intern's Email Address *

Supervising Teacher's Last Name *

Supervising Teacher's First Name *

Location of Assigned Face to Face Internship (School & City) *

Reason for Virtual Classroom Attendance *

What was your virtual internship log in? *

virtualintern1@dardanellelizards.com