Field Experience Confirmation Form

Complete this form ONLY when you have contacted your host teacher and made 
arrangements for your educational field experience.

$name                                                 
Name 

$HostName
Host Teacher's Name
                              
$School
School                              
                 
$Daysandtimes
Day of the week and times you are scheduled to assist 

$Tasks
Tasks you expect to perform 

$StolafEdclass						EM Insurance: $EMinsurance
St. Olaf Class and Prof	 (Ed 290/330/375/3xx/other)		

Thanks for returning this form to us promptly.