WINTER 2016 Broward College Education Students - Field Placement Hours

To complete your Field Placement Hours, please choose from the dates and times below.

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

If you have 15 HOURS to complete, please choose 3 DATES (mark 3 boxes).
If you have 30 HOURS to complete please choose 6 DATES (mark 6 boxes).
If you have 45 HOURS to complete please choose 9 DATES (mark 9 boxes).

Each day consists of five hours which will include 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.

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

Name


A red asterisk (*) indicates required questions.


  1. Contact Number (###) ###-####:*


  1. Class:*


  1. Email:*


  1. Please choose the date and program that you will attend from the week of January 11th, 2016 through January 15th, 2016:
    DATE NO LONGER AVAILABLE
    DATE NO LONGER AVAILABLE
    DATE NO LONGER AVAILABLE
    DATE NO LONGER AVAILABLE
    DATE NO LONGER AVAILABLE
    DATE NO LONGER AVAILABLE
    DATE NO LONGER AVAILABLE
    DATE NO LONGER AVAILABLE
    DATE NO LONGER AVAILABLE
    Friday, January 29, 2016 JA Finance Park 8:00am-2:00pm **DATE JUST ADDED**


  1. Please choose the date and program that you will attend from the week of February 1st, 2016 through February 5th, 2016:
    Monday, February 1st, 2016 JA BizTown 8:00am-1:00pm
    Monday, February 1st, 2016 JA Finance Park 9:00am-2:00pm
    Tuesday, February 2nd, 2016 JA BizTown 8:00am-1:00pm
    Tuesday, February 2nd, 2016 JA Finance Park 9:00am-2:15pm
    Wednesday, February 3rd, 2016 JA BizTown 8:00am-1:00pm
    Wednesday, February 3rd, 2016 JA Finance Park 9:00am-2:15pm
    Thursday, February 4th, 2016 JA BizTown 8:00am-1:00pm
    DATE NO LONGER AVAILABLE
    DATE NO LONGER AVAILABLE
    DATE NO LONGER AVAILABLE


  1. Please choose the date and program that you will attend from the weeks of February 8th, 2016 and February 15th, 2016:
    Monday, February 8th, 2016 JA BizTown 8:00am-1:00pm
    Tuesday, February 9th, 2016 JA Finance Park 9:30am-2:30pm **NEW DATE
    Wednesday, February 10th, 2016JA Finance Park 9:30am-2:30pm **NEW DATE
    Thursday, February 11th, 2016 JA Finance Park 9:30am-2:30pm **NEW DATE
    Friday, February 12th, 2016 JA Finance Park 9:00am-1:30pm
    Wednesday, February 17th, 2016 JA BizTown 8:00am-1:00pm
    Wednesday, February 17th, 2016 JA Finance Park 9:15am-2:15pm
    DATE NO LONGER AVAILABLE
    Thursday, February 18th, 2016 JA Finance Park 9:15am-2:15pm
    DATE NO LONGER AVAILABLE


  1. Please choose the date and program that you will attend from the week of February 22nd, 2016 through March 11th, 2016:
    Monday, February 22nd, 2016 JA BizTown 8:00am-1:00pm
    Monday, February 22nd, 2016 JA Finance Park 9:00am-2:00pm
    Tuesday, February 23rd, 2016 JA BizTown 8:00am-1:00pm
    Tuesday, February 23rd, 2016 JA Finance Park 9:00am-2:00pm
    Wednesday, February 24th, 2016 JA BizTown 8:00am-1:00pm
    DATE NO LONGER AVAILABLE
    DATE NO LONGER AVAILABLE
    Friday, February 26th, 2016 JA Finance Park 7:15am-12:15pm
    DATE NO LONGER AVAILABLE
    Tuesday, March 8th, 2016 JA Finance Park 9:30am-2:30pm **NEW DATE**


  1. Please choose the date and program that you will attend from the week of April 4th, 2016 through April 8th, 2016:
    DATE NO LONGER AVAILABLE
    DATE NO LONGER AVAILABLE
    DATE NO LONGER AVAILABLE
    DATE NO LONGER AVAILABLE
    DATE NO LONGER AVAILABLE


  1. **DATES JUST ADDED** Please choose the date and program that you will attend from the weeks of April 11th, 2016 through May 6th, 2016:
    Wednesday, April 27th, 2016 JA BizTown 8:00am-1:00pm **DATE JUST ADDED**
    DATE NO LONGER AVAILABLE
    DATE NO LONGER AVAILABLE
    DATE NO LONGER AVAILABLE
    DATE NO LONGER AVAILABLE
    DATE NO LONGER AVAILABLE
    DATE NO LONGER AVAILABLE
    DATE NO LONGER AVAILABLE
    DATE NO LONGER AVAILABLE
    DATE NO LONGER AVAILABLE