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Practicum Contract (P2)

Please NOTE: This form will NOT SAVE if you begin it now and return later to finish and submit. Please complete and submit the form in one session.

Once submitted, copies will be sent to the RTEC student and to the cooperating teacher. Questions? Contact Rebecca Perini at rperini@wlu.edu.

* Student Name:

* Email:

* RTEC Course:

* Required # of hours:

Other

* Semester:

* Cooperating Teacher Name:

* Email:

* School:

* Grade level/subject:

The cooperating teacher and student should meet to complete this form, determine mutually agreeable days/times, and discuss the following prior to beginning the practicum experience.

Copies of the completed form will be sent to the cooperating teacher and student, and a copy to the RTEC professor of the practicum course.

* Planned days and times to complete practicum hours:

* Anticipated last day of practicum:

* AT OUR MEETING WE DISCUSSED:

Notes, additional responsibilities, special requests, etc.:

* Cooperating Teacher Signature:

STUDENT: Your signature below indicates that you also have reviewed the Interactions with Minors Guidelines.

* Student Signature:

* Date: