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Click here for
Preservice Teacher Diverse Field
Experiences Log
Rationale and Examples
Please list
the following:
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Date
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Course
Number or Experience (i.e. service
learning, tutoring, work in the
schools)
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School
or Educational Setting
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Grade
Level
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Hours
-
Type of
Participation and Description
(i.e. observation, interview,
tutor, teach, substitution)
-
Type of
Diversity Observed (i.e. race,
language,
socioeconomic,
gender, special
needs) and Description of
diversities represented in the
class.
PLEASE DO NOT
USE STUDENT NAMES.
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Date |
Course Number or
Experience |
School
or Educational Setting |
Grade Level |
Hours |
Type of Participation
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Type of Diversity
Observed |
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At the
end of Student Teaching and when you
have completed the Preservice Teacher Diverse Field
Experiences Log and verified this with your
University Supervisor, then please click the
following link to go to the Summary Diverse Field
Experiences form to enter summary data.
NOTE:
The Summary Diverse Field Experiences form is an
online form and to be completed only one time. (Expect 20 minutes
to complete the Summary Diverse Field Experiences
form.)
Summary Diverse Field Experiences form
http://www.unca.edu/education/educ311/data_capture/summary_dfe_form.htm |
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Pass
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_________________________________ |
_________________________________ |
Student Teacher (Please
Print)
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Student Teacher
E-mail (Please
Print)
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_________________________________ |
_________________________________ |
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Assessment Signature |
Assessment Date |
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Diverse
Field Experiences Plan of
Action
(Contains
details of experiences not
met and agreed plan of
action. To be reassessed
after completion of
remediation.)
Continued
on back of form if checked
_________________________________ |
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Student Teacher
(Signature
for Plan of Action)
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_________________________________ |
_________________________________ |
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Capstone Course Instructor Signature |
Plan of Action Date |
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