Student Contact Information and Practicum Planning Sheet

Name

Email address 

(Be sure to forward your WCU email address to your personal email address.) 

Other Contact Information (address, phone, cell)

Concentration Subjects & Grades - from most comfortable, familiar to least: 

Teaching Experiences or Other Experiences Working with Students

School & Teacher Preference, if any:  

Give times/days of the week you are available to do the practicum.

If you are a lateral teacher, check here. If yes, give # of years' teaching, school info, including courses &
schedule. You will have to use your planning period to do selected observations, and fulfill the planning and teaching
requirements of the practicum in a selected course.