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Observation / practicum interest form
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Name
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First
Last
Email
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PCC student
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College name
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Indicate interest
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Practicum 1
Practicum 2
Practicum 3
Observations
Term
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Fall
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Spring
Age group
*
Infants
Toddlers
Preschool
Hours needed in the term
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Preferred time and days
*
Please note that practicum or observation hours can’t be scheduled during nap time (12-2pm).
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