Division of School Library Studies
Practicum Information
" School Librarians Are Teachers First!"
Application for Practicum
[Highlight and copy/paste into Word or download the Word file]
| Name: |
Student ID: |
| Address: |
| Phone (Home): |
Phone (Work): |
| Work Address: (School) |
| Email Address: |
| Practicum Semester: |
Elementary: Y N
Secondary: Y N |
Regular or Mentoring |
Be Sure to Register for this course!! (Register through Continuing Education) |
List any work experience in ANY library. Also, list the district and school where you currently work:
|
Course work remaining in program, including courses taken simultaneously with practicum (mark the latter with an *):
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Your practicum supervisor must be full time in one building and have a master's degree. |
| Preferred Site (1) |
| School: |
| Address: |
| Teacher-Librarian: |
| Teacher-Librarian Email: |
| Principal: |
| Principal Email: |
| School Phone #: |
| |
| Preferred Site (2) |
| School: |
| Address: |
| Teacher-Librarian: |
| Teacher-Librarian Email: |
| Principal: |
| Principal Email: |
| School Phone #: |
I have no "preferred" site, but would like (Please indicate here if you are aware of a nearby district(s) that my have different breaks than yours. If so, I'll consider that, as long as the district meets the above stated requirement for Practicum supervisor to be full time in one building and have a master's degree):
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Maintained and Updated by the UNI Division of School Library Studies
Questions or Comments, Please contact: Barbara Safford
Last Updated:
October 28, 2009
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