Field Experience Professional Semester I Practicum Location Form - FALL 2023 Please submit by October 25, 2023. You must have JavaScript enabled to use this form. SECTION I: CONTACT INFORMATION Last Name First Name U of L ID Number U of L Email Address Gender: Male Female Non Binary Other Current Street Address Current City What city or town are you planning to return to on weekends? Brooks area Calgary area Cardston area High River/Okotoks area Lethbridge area Medicine Hat area Milk River area Pincher Creek area Taber area Phone Number SECTION II: TEACHING SEMINAR INFORMATION EDUC 3505 Teaching Seminar Section - Select -ABCDEFGHIJKLMNOPQR SECTION III: PLACEMENT LOCATION INFORMATION School Name - None -A. B. Daley Community SchoolAahsaopi Elementary SchoolAcadia SchoolAgnes Davidson SchoolArrowwood SchoolAssumption SchoolBarnwell SchoolBassano SchoolBeddington Heights SchoolBig Rock SchoolBlackie SchoolBow City ColonyBow Island Elementary SchoolBriar Hill SchoolC. Ian McLaren SchoolCanyon Elementary SchoolCardston Elementary SchoolCatherine NIchols Gunn SchoolCayley SchoolCentral Elementary SchoolChildren of St. Martha SchoolCoalhurst Elementary SchoolCopperfield Colony SchoolCoventry Hills SchoolCrestwood SchoolD. A. Ferguson Middle SchoolDorothy Dalgliesh SchoolDr. Gerald B. Probe SchoolDr. Hamman SchoolEastbrook Elementary SchoolElboya SchoolEnchant SchoolFather Doucet SchoolFather Leonard Van Tighem SchoolFish Creek SchoolFleetwood Bawden SchoolForemost SchoolG. S. Lakie Middle SchoolGalbraith SchoolGeorge Davison Elementary SchoolGood Shepherd School (Redeemer)Griffin Park SchoolHidden ValleySchoolHoly Family Academy (Redeemer)Horace Allen SchoolHuntsville SchoolImmanuel Christian Elementary SchoolIsabel F. Cox SchoolIsabelle Sellon SchoolJanet Johnstone SchoolJennie Emery Elementary SchoolKillarney SchoolL. T. Westlake SchoolLakeview SchoolLangdon SchoolLethbridge Christian SchoolLomond SchoolMargaret Wooding SchoolMike Mountain Horse SchoolMilk River Elementary SchoolMillarville SchoolMilo SchoolMother Teresa SchoolMount View SchoolMountain View SchoolNapi's Playground Elementary SchoolNicholas Sheran Community SchoolNoble Central SchoolNose Creek SchoolPanorama Hills SchoolPark Meadows SchoolR. I. Baker Middle SchoolR. I. Baker Middle SchoolRaymond Elementary SchoolRideau Park SchoolRiver Heights SchoolRiverside SchoolRosemary SchoolRosemont SchoolRoss Glen SchoolSaipoyi SchoolSchuler SchoolSenator Buchanan SchoolSenator Gershaw SchoolSouthview Community SchoolSpitzee Elementary SchoolSpring Glen Elementary SchoolSpring Glen Junior High SchoolSt. Joseph's SchoolSt. Louis SchoolSt. Michael's School Bow IslandSt. Michael's School Medicine HatSt. Patrick's Elementary SchoolSt. Patrick's Fine Arts Elementary SchoolSt. Patrick's SchoolSt. Paul's SchoolStavely Elementary SchoolSunnyside SchoolSunnyside School CBESunnysite Colony SchoolTilley SchoolUplands Elementary SchoolVauxhall Elementary SchoolVincent Massey School MHVulcan Prairieview Elementary SchoolW. A. Day Elementary SchoolWest Meadow SchoolWestminster SchoolWestmount SchoolWilson Middle SchoolWoodman School Other school not in the list above Please type in the name of the school Will you have access to a vehicle? Yes No SECTION IV: ACCOMMODATION INFORMATION Accommodation Requirement I do not require accommodation during my PS I practicum as I will be living in my current residence. I will require accommodation during my PS I practicum. If you do not require accommodation you may proceed to the bottom of the form and click on the Submit button. What does accommodation entail? Student accommodation is arranged from Sunday evening through Friday morning. The accommodation arrangement is not available on weekends. Accommodations generally include one hot meal each day and food to prepare your breakfasts and lunches. Have you found your own accomodation? Yes - Please complete Section A below. No - Please complete Section B below. Do you have an unlimited data plan? Yes - Please complete Section A below. No - Please complete Section B below. Section A Is your accommodation your permanent residence when not attending U of L courses? Yes No Is the accommodator a relative? Yes No If yes, please specify the type of relationship (parent, aunt, friend, etc.) Note the name of the accommodator below. Provide the full address of the accommodator (including postal code) below. Section B Do you smoke? Yes No Do you have allergies? Yes No If you indicated that you do have allergies, please provide details here. Note that students are required to provide a doctors note to support any situations they indicated above. If you have any other situations that you wish to be taken into consideration (i.e. vegetarian, lactose intolerant, etc.), note them in the box below. Please indicate pertinent information below, to enable Field Experience to identify an appropriate accommodation for you. Comments
