Practicum Check-In
Please check in monthly during your practicum to let us know how you are doing. Of course, you don't have to wait to check in if you need us.
Remember to click submit at the end of the form when you have finished!
* Required
Last Name
*
First Name
*
Your email address
*
Tell us how you're doing in your classroom and with your assignments.
Would you like us to call you or email you back?
*
Not right now, no contact required. Thank you.
Yes, please contact either myself or my school at the email address or telephone provided.
Name of person to contact if you've requested contact.
(If this is not you, please supply the individual's title or position).
How would you prefer us to make contact?
(Choose one of the following if you've requested contact.)
Email to the address above
Telephone (include the number below)
Other:
eMail address which we can use to make contact
We will use this if you have chosen email above. We may also send a message if we cannot reach you by your preferred means.
Telephone number which we can use to make contact
Our usual hours for returning calls are 4:00-6:00pm unless otherwise requested below.
Please let us know if we can provide any support for you at this time
We welcome suggestions.
Thank you!
If you have requested a response you may normally us get back to you within 3 working days, or sooner if urgent.