Sue, this form was submitted to the Department of Education Student Teacher Site by:
$1 
$2
$3
$4 $5 $6
Phone: $7
Email: $_from
=============================
School Information:
$9 
$10
$11
$12 $13 $14
School Phone: $school_phone
Principal: $15
The student will start at the school on $16 and will be ending on $17
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Cooperating Teachers: 
$18
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Holidays when school is not in session during the student's teaching dates are
$19
==============================
Schedule 
Hour/Period	Time	Room	Teacher		Subject
1st		$21	$23	$24		$22
2nd		$26	$28	$29		$27
3rd		$32	$34	$35		$33
4th		$37	$39	$40		$38
5th		$42	$44	$45		$43
6th		$47	$49	$50		$48
7th		$52	$54	$55		$53
8th		$57	$59	$60		$58
Teaching elsewhere this year? $61
Which School $another_school
Other Notes: 
	$62