FALL 2015 FAU Education Students - Field Placement Hours

To complete your Field Placement Hours, please select ONE DATE from the dates and times listed below.

The time commitment is six hours and includes a thorough training at the beginning of the day.

We recommend that you choose your dates as soon as possible. Students will be chosen on a first come, first served basis.

PLEASE ALLOW **1-2** BUSINESS DAYS TO RECEIVE A CONFIRMATION VIA EMAIL AFTER YOU SUBMITTED THIS FORM.

Please bring your Rubric and Clearance Badge on the day of your visit. It is a requirement in order to volunteer with our organization.

If you have additional questions, please email Jayme-Sky Pagan at Jayme-Sky@jasouthflorida.org.

CANCELLATION POLICY
We require at least 48 hours advance notice to cancel or reschedule a visit date, or a doctor's note for absences due to illness. We understand that situations may arise but want to remind you that your presence is necessary for our program to be successful.

Name


A red asterisk (*) indicates required questions.


  1. E-mail Address:*


  1. Contact Phone Number:*


  1. Day AND Time of ETP2 Class:*


  1. Campus AND Instructor:*


  1. Please choose the date and program that you will attend from the week of September 28th, 2015 through October 2nd, 2015:
    DATE NO LONGER AVAILABLE
    DATE NO LONGER AVAILABLE
    DATE NOT AVAILABLE
    DATE NOT AVAILABLE
    DATE NOT AVAILABLE


  1. Please choose the date and program that you will attend from the week of October 5th, 2015 through October 9th, 2015:
    DATE NOT AVAILABLE
    DATE NOT AVAILABLE
    DATE NOT AVAILABLE
    DATE NOT AVAILABLE
    DATE NOT AVAILABLE


  1. Please choose the date and program that you will attend from the week of October 12th, 2015 through October 16th, 2015:
    DATE NOT AVAILABLE
    DATE NOT AVAILABLE
    DATE NOT AVAILABLE
    DATE NOT AVAILABLE
    DATE NOT AVAILABLE


  1. Please choose the date and program that you will attend from the week of October 19th, 2015 through October 23rd, 2015:
    Monday, October 19th, 2015 JA BizTown 8:00am-2:00pm
    DATE NO LONGER AVAILABLE
    DATE NO LONGER AVAILABLE
    DATE NOT AVAILABLE
    DATE NOT AVAILABLE


  1. Please choose the date and program that you will attend from the week of October 26th, 2015 through October 30th, 2015:
    DATE NOT AVAILABLE
    DATE NOT AVAILABLE
    DATE NOT AVAILABLE
    DATE NOT AVAILABLE
    DATE NOT AVAILABLE


  1. Please choose the date and program that you will attend from the week of November 2nd, 2015 through November 6th, 2015:
    Tuesday, November 3rd, 2015 JA BizTown 8:00am-1:00pm
    Thursday, November 5th, 2015 JA BizTown 8:00am-2:00pm
    Thursday, November 5th, 2015 JA BizTown 8:30am-2:30pm
    DATE NOT AVAILABLE
    DATE NOT AVAILABLE


  1. Please choose the date and program that you will attend from the week of November 9th, 2015 through November 13th, 2015:
    Monday, November 9th, 2015 JA BizTown 9:00am–3:00pm
    Monday, November 9th, 2015 JA BizTown 8:00am–2:00pm
    Tuesday, November 10th, 2015 JA BizTown 8:00am-2:00pm
    Thursday, November 12th, 2015 JA BizTown 8:00am-2:00pm
    DATE NOT AVAILABLE


  1. Please choose the date and program that you will attend from the week of November 16th, 2015 through November 20th, 2015:
    Monday, November 16th, 2015 JA BizTown 8:00am-2:00pm
    Wednesday, November 18th, 2015 JA BizTown 8:00am-2:00pm
    Thursday, November 19th, 2015 JA BizTown 8:00-2:00pm
    DATE NO LONGER AVAILABLE
    DATE NO LONGER AVAILABLE


  1. Please choose the date and program that you will attend from the week of November 23rd, 2015 through November 27th, 2015:
    Monday, November 23rd, 2015 JA BizTown 8:00am–2:00pm
    DATE NOT AVAILABLE
    DATE NOT AVAILABLE
    DATE NOT AVAILABLE
    DATE NOT AVAILABLE


  1. Please choose the date and program that you will attend from November 30th, 2015 through December 4th, 2015:
    Wednesday, December 2nd, 2015 JA BizTown 8:00am-2:00pm
    Thursday, December 3rd, 2015 JA BizTown 8:00am-2:00pm
    Friday, December 4th, 2015 JA BizTown 8:00am-2:00pm
    DATE NOT AVAILABLE
    DATE NOT AVAILABLE


  1. Please choose the date and program that you will attend from December 7th, 2015 through December 11th, 2015:
    Monday, December 7th, 2015 JA BizTown 8:00am–2:00pm
    Tuesday, December 8th, 2015 JA BizTown 7:45am-1:45pm
    Wednesday, December 9th, 2015 JA BizTown 8:00am-2:00pm
    Friday, December 11th, 2015 JA BizTown 8:30am-2:30pm
    DATE NOT AVAILABLE


  1. Please choose the date and program that you will attend from December 14th, 2015 through December 18th, 2015:
    Wednesday, December 16th, 2015 JA BizTown 8:00am-2:00pm
    Thursday, December 17th, 2015 JA BizTown 8:00am-2:00pm
    Thursday, December 17th, 2015 JA BizTown 8:30am-2:30pm
    DATE NOT AVAILABLE
    DATE NOT AVAILABLE