Student Teacher Form
    CI 352g
    Dr. Kathleen Bueno

    Please fill out the following information and return it to me or leave it in my mailbox as soon as possible.
    You can also send it by e-mail. Thanks!



    Name________________________________ SS#______________________

    Address________________________________________________________

    Phone________________________________  e-mail ___________________

    School Assignment________________________________________________

    Address________________________________________________________

    Phone________________________________

    Cooperating Teacher(s)_____________________________________________

    Principal________________________________________________________

    Schedule:
     
     
     
     
     
     
     
     
     
     
     
     
     

     

    Date you will begin teaching:  _______________________
     
     



    URL: http://www.siue.edu/~kbueno/COURSES/ci352g.htm
    Published By:  Kathleen Bueno <kbueno@siue.edu>
    Created By:  Faculty Technology Center<shuffst@siue.edu>
    Last Update: July 3, 2002