ESOL Practicum Site Form

Teacher Education

This practicum outline is to be completed and sent to your academic advisor for approval before you officially register for your ESOL/Bilingual practicum. Please fill in all of the information as well as any additional information that we might need.

Please be sure your practicum site fits the requirements before submitting this form.

If you have questions contact Ashawnta Jackson at ajackson@lclark.edu or 503-768-6134.

Name
E-mail address
Phone number
Practicum site
Practicum site address

Practicum site phone number
Start date
End date
Days
Times
Grade level
Number of students (total)
Does this classroom require the ESOL endorsement?	Yes No
Name of mentor teacher
Mentor completed their ESOL program at (name of institution)
Notes

Contact Us

The Department of Teacher Education is located in room 402 of Rogers Hall.

email lcteach@lclark.edu

voice 503-768-6100
fax 503-768-6115

Department Chair Vern Jones

Department of Teacher Education
0615 S.W. Palatine Hill Road, MSC 14
Portland, Oregon 97219