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Spring 2019 Broward College Education Students - Field Placement Hours at J.A. South Florida
*PLEASE REVIEW THE FOLLOWING INFORMATION*
In order to meet the Field Placement Hours requirement, you must first complete this form and select the dates you are available. By doing so, you are committing to being present on the days that we need volunteers the most.
You are required to arrive on time and remain in the program until the scheduled end time.
We require a notice to cancel or reschedule a visit date at least 24 business hours in advance, or a doctor's note for absences due to illness.
Any absence without notice will result in the cancellation of your remaining dates.
To participate on the dates you have selected, you MUST email a copy of your clearance badge to Dr. Kristina M. Taylor, ktaylor3@broward.edu prior to your first visit date.
It is also required that you present your clearance badge on each visit date and have it visible at all times. If you fail to do so, you will not be able to participate in the program and must reschedule your visit date.
PLEASE ALLOW **2** BUSINESS DAYS TO RECEIVE A CONFIRMATION VIA EMAIL AFTER YOU SUBMITTED THIS FORM.
If you have additional questions, please email Crissy Torres at crissy@jasouthflorida.org. Thank you.
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- Last Name:*
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- First Name:*
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- Primary School Email:*
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- Primary Phone Number:*
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- Please select the campus where your education course is:
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- Please select the number of education courses you are enrolled in with the corresponding hour requirement:
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- Please select the class name(s) that you are enrolled in:
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- Professor's name:*
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- Please choose the date(s) and program(s) that you will attend from the week of January 9, 2019 through January 11, 2019:
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- Please choose the date(s) and program(s) that you will attend from the week of January 14, 2019 through January 16, 2019:
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- Please choose the date(s) and program(s) that you will attend from the week of January 23, 2019 through January 25, 2019:
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- Please choose the date(s) and program(s) that you will attend from the week of January 28, 2019 through February 1, 2019:
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- Please choose the date(s) and program(s) that you will attend from the week of February 4, 2019 through February 8, 2019:
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- Please choose the date(s) and program(s) that you will attend from the week of February 11, 2019 through February 15, 2019:
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- Please choose the date(s) and program(s) that you will attend from the week of February 19, 2019 and February 28, 2019:
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- Please choose the date(s) and program(s) that you will attend from the week of March 4, 2019 and March 8, 2019:
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- Please choose the date(s) and program(s) that you will attend from the week of March 11, 2019 and March 15, 2019:
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- Please choose the date(s) and program(s) that you will attend from the week of March 18, 2019 and March 19, 2019:
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- Please choose the date(s) and program(s) that you will attend from the week of April 15, 2019 and April 17, 2019:
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- Please choose the date(s) and program(s) that you will attend from the week of April 22, 2019 and April 26, 2019:
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- Please choose the date(s) and program(s) that you will attend from the week of April 29, 2019:
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- Please choose the date(s) and program(s) that you will attend from the week of May 21, 2019 and May 22, 2019:
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- Please choose the date(s) and program(s) that you will attend from the week of May 28, 2019 and May 22, 2019:
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