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Field Experience Data Collection Form

Field Experience Data Collection Form

Instructions: Using the data you collected during a field experience, record the appropriate data from your experience on this form. The only optional item on this form is final item (reflection); all other items are required. Please ensure that your responses for each drop-down list do not change when you scroll down the page.
Banner Self-Service ID
e.g., yourname@yourdomain.com
Select all ethnicities represented.
Select all grade levels represented.
Enter the duration in hours.
Use .25, .5, and .75 to indicate 15-, 30-, and 45-minute intervals, respectively. Enter a zero for subjects not included in this field experience. Use numbers only--not text.
Note: This item is optional.
STOP!
Check all your responses, especially those in drop-down lists, to ensure that they are accurate.
If you print a copy of this form, remember to click Submit AFTER your copy is printed.