Clinical Practice Application Fall / Practice Information Fall / /
Organization
California Unified School District / office of Student Services / George Washington Elementary School / School district ______________________________________________School name_______________________________________ School / Azusa Pacific University School / Azusa High School / Azusa Unified School District / Education office of Student Services PO Box / Lincoln Elementary School / /
Person
Robert Smith / John Doe / Sue Jones / Cheryl Ward / Katie Wilfong / Amaechi Nwaohia / / /
Position
anwaohia@apu.edu Multiple-Subject Coordinator / program director / teacher / school representative / coordinator / ____________________________________Master teacher / administrator / kwilfong@apu.edu Special Education Coordinator / records coordinator / full-time teacher / appropriate school representative / Single-Subject Coordinator / /
Clinical Practice Information Fall 2013 Please submit this application to the Office of Student Services by April 1, 2013. In addition to your application you must submit all required documents to the Office of Student S