DATE:
TO:
Palm Beach State College
Academic Services MS #51
4200 Congress Avenue
Lake Worth, FL 33461
RE:
Permission for Field Observation Placement (Charter/Private Schools ONLY)
TO THE PALM BEACH STATE EDF/EPI COURSE INSTRUCTOR:
, a Palm Beach State College student, student number #
enrolled in an EDF/EPI course that requires field observation, has
permission to conduct this observation at
a
Charter
Private School, between the following dates:
to
This student meets the security clearance requirements of this institution as outlined below.
For Educator Preparation Institute Students ONLY:
Student must be placed with a Clinical Educator. Please list the name of the charter or private
school's Clinical Educator.
Sincerely,
Name:
Title:
Institution:
Address:
Institution
Signature:
Student
Signature:
Print out completed memo, school rep completes school information, both student and school rep sign memo. Turn memo into course teacher or
PBSC Academic Services.