Practicum Check-In for Students (required during practicum year)

Please take a moment to let us know how you are doing and how we can help. Students undertaking a practicum are required to check in monthly during the academic year.

Be sure to let us know if you would like a follow-up telephone call.

Please provide the following information:

Name
Position
School
Work Phone
FAX
E-mail

This is my check-in for:

August   September  October  November  December

 January  February  March  April  May 

Today's Date:

My progress on practicum assignments:

current     only somewhat behind

hopelessly behind (Contact me!)

I have received the following practicum visits for:

Fall  Winter Spring

If you have any questions about the practicum visits at this time, please describe them here:

If you have any questions about the course, please describe them here:

Check here if you would like to receive a follow-up call.

Thank you!

Copyright © 2004 Seacoast Center for Education. All rights reserved.
Revised: September 04, 2007