SUMMER 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. Broward College Email Address:*


  1. Class:*


  1. Please choose the date and program that you will attend from the week of May 16th, 2016 through May 20th, 2016:
    Monday, May 16, 2016 JA BizTown 8:00am-1:00pm
    Monday, May 16, 2016 JA Finance Park 9:30am-2:30pm
    Tuesday, May 17, 2016 JA BizTown 8:00am-1:00pm
    DATE NO LONGER AVAILABLE
    Tuesday, May 17, 2016 JA Finance Park 9:30am-2:30
    Wednesday, May 18, 2016 JA BizTown 8:00am-1:00pm
    Wednesday, May 18, 2016 JA BizTown 8:30am-1:30pm
    Wednesday, May 18, 2016 JA Finance Park 9:30am-2:30pm
    Thursday, May 19, 2016 JA BizTown 8:00am-1:00pm
    DATE NO LONGER AVAILABLE
    Thursday, May 19, 2016 JA Finance Park 9:15am-2:15pm
    DATE NO LONGER AVAILABLE
    Friday, May 20, 2016 JA BizTown 8:00am-1:00pm
    DATE NO LONGER AVAILABLE
    DATE NO LONGER AVAILABLE


  1. Please choose the date and program that you will attend from the week of May 23rd, 2016 through May 27th, 2016:
    Monday, May 23, 2016 JA BizTown 8:00am-1:00pm
    Monday, May 23, 2016 JA Finance Park 9:15am-2:15pm
    DATE NO LONGER AVAILABLE
    Tuesday, May 24, 2016 JA Finance Park 9:00am-2:00pm
    Wednesday, May 25, 2016 JA BizTown 8:00am-1:00pm
    Wednesday, May 25, 2016 JA Finance Park 9:00am-2:00pm
    Thursday, May 26, 2016 JA BizTown 8:00am-1:00pm
    Thursday, May 26, 2016 JA Finance Park 9:00am-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 May 30th, 2016 through June 3rd, 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, June 3, 2016 JA Finance Park 9:15am-2:30pm


  1. Please choose the date and program that you will attend from the week of June 6th, 2016 through June 10th, 2016:
    DATE NO LONGER AVAILABLE
    DATE NO LONGER AVAILABLE
    Tuesday, June 7, 2016 JA BizTown 8:00am-1:00pm
    Tuesday, June 7, 2016 JA Finance Park 7:30am-12:30pm
    DATE NO LONGER AVAILABLE