Clinic Biography

Please submit between December 1 and December 31st for the Spring Clinical Literacy Practicum and between May 1st and May 31st for the Summer Clinical Literacy Practicum.

1. Name

2. Email This question requires a valid email address.

3. Phone This question requires a valid number format.

4. Program:

Lit B (elementary)
Lit C (secondary)

5. Educational Background / Certification

6. Teaching Experience-include grade levels and specify your role: student teaching, full time teaching, tutoring, teaching assistant

7. Other Experience

8. Teaching Interests

9. Work Style

10. Who are you outside of class: your passions, what you do for fun, family info, what do you want me to know about who you are as a person?

11. Recent Reads

12. Music on your most frequently listened to playlist and your most recent playlist

13. Other facts that I need to know (allergies, illnesses or info that could affect your attendance or tutee selection)