FIELD OBSERVATION/PLACEMENT 
INFORMATION SHEET



Student must fill in following information:



Student Observer		________________________________________________


Course Name/Number	_______________________________________________	


Host Teacher			_______________________________________________


Grade/Age			_______________________________________________


Observation Site		_______________________________________________


Site Address			________________________________________________


Site Phone			________________________________________________


Principal/Director		________________________________________________





Agreement/Attendance Sheet MUST be returned to instructor at the end of observation or final grade will reflect failure to do so.