TBC Education Practicum Information Form - EDU 299, EDU 398, and EDU 399

TBC Education Practicum Information Form - EDU 299, EDU 398, and EDU 399
General Information:
Name*

First NameLast Name
Choose One:*
Are you an international student attending TBC on F-1/I-20?*
You MUST email sdowning@tbc.edu to request CPT approval prior to starting the internship/practicum. Failure to receive CPT approval prior to starting an insternship/practicum will result in the termination of your I-20 status.
Practicum School Information
Name of School:*
Location of School:*
Accrediting Agency of School:
Principal Information
Name*

First NameLast Name
Phone Number
Please enter a valid phone number.
Email*
example@example.com
Choose One:*
Secondary Majors
1st Teaching Field*
2nd Teaching Field*
All Majors
Teacher Preference (1st Choice)*
Teacher Preference (2nd Choice) *
Should be Empty:

General Information: