SAN DIEGO STATE UNIVERSITY/IVC
COURSE SYLLABUS: TE 303 (LAB) (LEC) - TRADITIONAL
THE TEACHING PROFESSION: FIRST CLINICAL EXPERIENCE
TERM:
8:30a.m. – 11:10AM
Locations to be announced
LAB:
Fall 2013
LECTURE:
1:00 – 3:40p.m.
INSTRUCTOR:
Barbara Layaye
Phone: 760-768-5578 (office)
Office Hours: Tuesday 11:30a.m. – 12:45p.m. and by appointment
Email: blayaye@mail.sdsu.edu
The course syllabus has valuable information and will answer many of your questions. This
document is required reading.
COURSE POLICIES
GRADING:
The course grade will be determined by 1) the percentage of total points earned for LAB,
2) the percentage of total points earned for LEC, and 3) the average percentage of LAB
and LEC. Grading Standards:
A, A-: Outstanding Achievement
100%-90%
D+, D, D-: Minimal Achievement 69%-60%
B+, B, B-: Demonstrates Achievement 89%-80%
F: Lacking Achievement
59%-00%
C+,C,C-: Partial Achievement
FORMAT:
All work should be carefully edited for proper writing skills (construction, punctuation,
spelling, grammar, etc.). Points are assessed for format/neatness.
ATTENDANCE, INCOMPLETES, ASSIGNMENTS, TASK STREAM:
Attend class ON TIME and REMAIN for the entire class session without intermittent departures.
Ten (10) points will be deducted from total lecture points for each tardy to lecture session. Twenty
(20) points will be deducted from total lecture points for each absence to lecture session without a
valid excuse. Late entry is not allowed 1) once a “testing period” has begun or 2) at clinical
observation field experience sites.
Absences and tardiness provide an opportunity to miss valuable instruction, administrative
clarifications, and information that is presented by the instructor, guest speakers, and site
administrators. Absences and tardiness can contribute to lower scores on assignments and
subsequently a lower course grade. INCOMPLETES will be given 1) with a written medical
statement from a physician, court or military orders, and other CA EDC CODE documents; 2) if
logs do not have required signatures. There are NO make-ups for group field experiences. All
assignments are made at the first class session and all students have the same and equal time to
complete all assignments as per the course calendar. Late assignments will not be accepted.
Consideration will be given only to those late assignments accompanied by a written medical
statement from a physician, court or military orders. Any assignment can be turned in prior to the
1
due date. HARD COPY assignments are due on due date by 1PM and are late thereafter. NO
LATE HARD COPY ASSIGNMENTS WILL BE ACCEPTED . Assignments requiring a hard
copy submission will be announced by the instructor.
All TASK STREAM ASSIGNMENTS are due at 12/NOON on the designated due date.
You should not be late to any scheduled class in order to submit TASK STREAM
assignments. You can submit any assignment prior to the due date/time. TASK
STREAM assignments that the instructor’s computer time reports being submitted after
12/NOON will be considered a late assignment and not accepted or scored. Late
assignments are acceptable only with a copy of a physician statement, court/jury order,
military order.
SUBMITTNG TASKSTREAM COURSE ASSIGNMENTS: The student is responsible
and accountable for using compatible software with university software and submitting
files that can be opened by the instructor. TaskStream is compatible with MICROSOFT
OFFICE software. If you submit your assignment with an incompatible software
program that does not open, you will NOT be able to have your TASKSTREAM
assignment rated by rubric or given points towards a grade
FIELD EXPERIENCE (LAB):
(a)
All students must attend group site observations with the class at the scheduled time.
There are no make-ups or extra credit assignments for these scheduled class requirements.
As per school district policies, all university students must check in and out as directed
with the professor and/or the site office.
(b)
All students are expected to attend scheduled school sites on-time. As a professional
courtesy to our host administrators and faculty please arrive at the school on time for roll
and be seated before the program begins. A good guide for the school clinical visits is
arriving 10-15 minutes before the scheduled presentation & allowing plenty of time to
park, walk, sign-in, etc. Students arriving after the instructor closes sign-in will NOT be
admitted and will be dismissed from the school site. The above no-make-up policy
applies.
(c)
The administrators at our site observations have asked that we be very cognizant of the
need to be punctual in order for them to provide an informative visit for you, and to also
be cooperative and considerate of the school schedule for their students. Time
management is a very important skill in the teaching profession and in the care and
protection of minors.
(d)
University students are expected to adhere to appropriate dress expected of professional
adult visitors to the school campuses; please refrain from wearing shorts, floppy sandals,
t-shirts/strapless tops or other apparel with alcohol, tobacco, drug use messages, insignia
to any field site at any during LAB. Students are subject to dismissal from the school site
by the Principal or Instructor for inappropriate dress and lateness.
(e)
Please observe no smoking policies at field sites.
2
(f)
Students are advised they will be required to wear the SDSU/IV university photo ID card
on their front torso at all times at all field site visitations, and show, upon request:
 a copy of their Certificate of Clearance,
 current TB clearance,
 university registration,
 professional liability insurance proof and all other documents to site
administration. Students will not be able to participate in field visitations without
their university photo and documents. Students are subject to dismissal from the
school site by the Principal or Instructor for lack of any required documents or ID.
(g)
All students must have a Certificate of Clearance/Fingerprint Clearance, TB Clearance,
liability insurance and SDSU Student ID Card on file with the Teacher Education Office
prior to course enrollment in order to participate in field experiences.
(h)
Professional liability insurance is not provided by the CSU system for students engaged in
field based activities. Such coverage is available for students to consider and purchase at
their own expense from a variety of insurance sources. The Teacher Education
Department has informational brochures are available for your reference. To obtain
professional liability coverage, you may wish to contact representative agents of various
programs directly with regard to specific questions that you may have relevant to their
respective coverage. Students doing field experiences in school districts that require
professional liability insurance must provide a copy of the insurance provider proof of
coverage letter prior to participation in field experiences.
(i)
This course requires students to participate in field trips, research or studies that include
course work that will be performed off-campus. Participation in such activities may result
in accidents or personal injury. Students participating in the event are aware of these
risks, and agree to hold harmless San Diego State University, the State of California, the
Trustees of the California State University and Colleges and it officers, employees and
agents against all claims, demands, suits, judgments, expenses and costs of any kind on
account of their participation in the activities.
(j)
Students using their own vehicles to transport other students to such activities should have
current automobile insurance and driver’s license.
(k)
Only students enrolled in this course may attend site field experiences.
(l)
When field experiences are conducted on a class basis with the instructor, no student is
permitted to attend any field experience at any site once the instructor closes required
attendance sign in and document check. Students who arrive after closed attendance must
not remain on the field site, or “go on their own to a classroom”, or “check-in on their own
through the school office” to falsely go to a classroom.
(m)
Students must observe all confidentiality policies when visiting field sites. Written work
and oral discussions should not include student or teacher names, evaluative comments of
a personnel nature about any district employee, or details which violate confidentiality
policies. Work violating confidentiality will be returned ungraded, with no points.
3
(n)
Evidence of student academic misconduct and non-academic misconduct will be referred
to the Teacher Education division and university administration for disciplinary action and
sanctions. Academic sanctions are the responsibility of the course instructor.
(o)
An INCOMPLETE will be given to students who do not submit a properly signed field
experience log prior to the last class session.
(p)
Students who need accommodation of their disabilities should contact the instructor
individually to discuss specific accommodations for which they have received
authorization. If you have a disability, but have not contacted Miguel Rahiotis (7685507), please do so before making an appointment to see me. Students must be registered
in the Disabled Students Program, prior to accommodation of their disabilities.
(q)
Students log-in at the school administrative office, and conform to school protocol before
contacting any teacher, or entering any classroom. Students not observing the guidelines
can be dismissed from placement, and are subject to disciplinary actions. These
guidelines and subsequent school policies are in place for the safety of minor children on
public school campuses, and your cooperation in these matters is appreciated.
LECTURE
(r)
As a professional courtesy to your classmates, and to support continuity of the learning
and teaching that occurs in LEC class, please commit to attending LEC class on-time,
remaining for the duration of the LEC class sessions, and returning from breaks on time.
All cell phones must be mute prior to entering your LEC classroom. Quizzes will be
given in CLOSED SESSION so as not to interrupt the concentration of your peers;
students arriving after the quiz begins will NOT be admitted until after the quiz is
finished.
(s)
The course syllabus is available on Task Stream; designated assignments must be
submitted using only TaskStream.
As you are aware, all of us need to be involved in the responsibility and accountability for safety during a
time of drill for a catastrophic event or an actual catastrophic event. Therefore, the following policies and
procedures are mandatory and effective immediately relevant to A) university class attendance and
evacuation; and B) external field site attendance:
A. University Class Attendance and Evacuation.
l. All students must sign in, writing their name on the university generated roster placed on a
designated desk near the entry door. Sign-in must be done immediately upon entering class; late
entry is not an excuse for not signing-in.
2. All students must evacuate immediately during a drill or actual event to their designated safety
zone, and must report immediately to their instructor, and sign-in writing their initials on the
original sign-in roster which will be brought to the designated safety zone by the course instructor.
4
B. External Field Site Attendance and Evacuation
When on an external field site on a field experience visitation with the instructor, all students must
evacuate during a drill or actual event following school/classroom procedures. Once at the
designated evacuation safety zone, all SDSU students must report to the SDSU instructor for
further directions.
When student are on an external field site for clinical experience on an individual field experience
assignment, SDSU students must evacuate during a drill or actual event following
school/classroom procedures and the assigned classroom teacher. Once at the designated
evacuation safety zone, SDSU students are to report to school command post for directions from
school administrator or follow the directions of their mentor teacher.
Student violations of these policies will result in sanctions for Academic and/or Non-Academic
Misconduct, be reported to the Center for Student Rights and Responsibilities, cost forfeiture of points
and/or grade(s) as determined by the course instructor, and pose vulnerability to professional and personal
issues of liability. All these issues are of the utmost concern for the safety and protection of minor children
and personnel at the field sites that are visited, as well as the safety of university personnel and students on
the SDSU Calexico and Brawley campuses.
PLEASE LET YOUR INSTRUCTOR KNOW IF YOU HAVE ANY QUESTIONS AT ALL
REGARDING THESE MOST IMPORTANT PROTOCOLS.
COURSE ACADEMICS
DESCRIPTION:
Social science concepts and theories for the teaching profession, guided student
observation and participation in public school classrooms.
Field Experience hours may extend to others hours/days beyond the LAB
Times.
PURPOSE:
Clinical field experience will acquaint students with effective practices in teaching
diversely populated enrollments, classroom management and discipline, teaching styles
and models, assessments, and learning and behavioral patterns as they relate to Teacher
Performance Expectations. Clinical observation and practica address field experiences
required by the California Commission on Teacher Credentialing/Committee on
Accreditation, the National Council of the Association of Teacher Education, and
university Teacher Education Program requirements.
GOALS:
Clinical field experiences of 45 hours will provide students with guided group
observations and individual field experience in a variety of disciplines and grade levels.
Class lectures will provide students with full text and discussion of Teacher Performance
Expectations along with the initial orientation of PACT requirements.
5
OBJECTIVES:
1)
To become knowledgeable of the professional choices in a career in education
2)
To understand how brain research relates to educational research on effective teaching
practices.
3)
To acquire skills in making instruction meaningful through practical experiences.
4)
To understand the sequence of teaching for transfer and teaching for mastery.
5)
To develop skills in behavioral reinforcement: positive and negative.
6)
To prepare for utilizing multicultural and multilingual strategies in diverse school settings.
7)
To understand human development, common traits, and individual differences from
observational experiences in a variety of instructional grade level configurations.
8)
To help the teacher education student “bridge” to being a professional in
understanding the legal, professional, and career aspects of being an educator
9)
To become knowledgeable of Teacher Performance Expectations.
10)
To understand PACT requirements as it relates to obtaining a teaching credential.
COURSE TEXTS
How the Brain Learns, Dr. David A. Sousa
CA Academic Content Standards for Teaching Emphasis at www.cde.ca.gov/ci
ASSIGNMENT REQUIREMENTS FOR LAB REPORTS:
Narrative content/context:
Introduction - describe the site, school, institution, etc.; demographics and (Observations/Practicas)
statistics; mission or purpose in the educational structure, etc.
Relationship to Teacher Performance Expectations (TPEs) - each assignment will have a specific TPE
to address; describe how the observation relates to characteristics of this specific TPE. Provide specific
examples demonstrating the concept of the TPE.
Conclusion - What did you learn? Something new? Something reinforced? Changes in your opinion?
Other professional comments, etc.
Writing structure (All Assignments):
Rhetorical Force - clarity, coherence, reasoning, and accuracy
Organization - logical sequence and use of format
Support & Development - relevance, depth, and specificity of factual detail in elaboration of content and
context
Usage - care and precision in word selections.
Structure & Conventions - syntax, paragraph structure, and mechanics (spelling, punctuation
capitalization and grammar)
6
TE 303 LAB Field Experience
COURSE CALENDAR
MON
TIME
LAB
235 Points
Aug. 27
8:30 a.m.–11:10 a.m.
1:00 p.m –3:40 p..m.
ORIENTATION
Field Experience School Site Assignments
Sept. 3
8:30 a.m.–11:10 a.m.
Meet with School Site Administrator for Approval of Field
Experience hours (NO CLASS MEETING – bring approval
letter to next class meeting on Sept. 10.
Sept. 10
8:30 a.m.-10:30 a.m.
Imperial County Office Of Education
312-6440
Anne Mallory, Imperial County Superintendent of Schools
Location: SELPHA Conference Room , Building D (behind
ICOE main building), 1398 Sperber Road, El Centro 92243
10:30 a.m.-11:30 a.m. Alternative Education Programs,
312-5525
MonaLisa Vitello, Senior Director
Location: Alternative Education Conference Room 253 E. Ross
Ave. El Centro 92243
Sept. 17
TBA
LAB Field Experience in Assigned Classroom
Sept. 24
9:30a.m. – 11:10 a.m.
Imperial Valley Center of Exceptional Children (IVCEC)
Deborah Montoya, Principal 312-6630
Location: 15285 South Waterman Ave. El Centro
Oct. 1
TBA
LAB Field Experience in Assigned Classroom
Oct. 8
TBA
LAB Field Experience in Assigned Classroom
Oct. 15
TBA
LAB Field Experience in Assigned Classroom
Oct. 22
TBA
LAB Field Experience in Assigned Classroom
Oct. 29
TBA
LAB Field Experience in Assigned Classroom
Nov. 5
TBA
LAB Field Experience in Assigned Classroom
Nov. 12
TBA
LAB Field Experience in Assigned Classroom
7
Nov. 19
TBA
LAB Field Experience in Assigned Classroom
Nov. 26
TBA
LAB Field Experience in Assigned Classroom
Dec. 3
TBA
LAB Field Experience in Assigned Classrooms
Dec. 10
TBA
Last Day for LAB Field Experience in Assigned Classroom
is December 10, 2013. All reports must be completed and
assigned teacher signatures obtained on designated forms on or
before this date.
Dec. 17
8:30 a.m.-11:10 a.m.
Final Exam
8
LAB COURSE ASSIGNMENTS
235 Total Points
Site Clinical Group Observations – 5 hours of Field Experience
Total points for Group Observations = 60pts.
TPE’s 1-13
Assignment Due Date: September 17
Reflection
20 Points
1. Imperial County Office of Education (ICOE)
Complete a reflection, not to exceed two pages in length, single spaced,
labeling each of the following components: 1) Introduction- describing the
purpose of the institution, 2) Relationship to TPE 13 and TPE 1- describe
how the programs and services of ICOE relate to TPE 13 and TPE 1)
Conclusions-What did you learn? Something new? Something reinforced?
Changes in your opinion? Other professional comments, etc. PLEASE
FOLLOW THE WRITING GUIDELINES FOR YOUR NARRATIVE
Assignment Due Date Sept. 24
Reflection
20 Points
2. Alternative Education Program
You visited an educational institution that provides alternative education
programs to students. Complete a reflection, not to exceed 2 pages in
length, single spaced, discussing the following: 1)Introduction- the
purpose of the educational institution, 2)Relationship to TPE 11 -Social
Environment, and TPE 8 – Learning About Students, and 3) Conclusions professional comments on what you learned (something new? Something
reinforced? Changes in your opinion?). FOLLOW THE WRITING
GUIDELINES FOR YOUR REFLECTION.
Assignment Due Date: October 1
Reflection
20 Points
4. Imperial Valley Center for Exceptional Children
Reflect on your visit to IVCEC in terms of TPE 4 – Making Content
Accessible and TPE 6 –Developmentally Appropriate Teaching Practices.
Complete a reflection, not to exceed two pages in length, single spaced,
discussing the following: 1) Introduction -purpose of the educational
agency, 2) Relationship to effective components and strategies of TPE 4
and TPE 6 you observed, and 3) Conclusion - professional comments on
what you learned (something new? Something reinforced? Changes in your
opinion?). FOLLOW THE WRITING GUIDELINEFOR YOUR
REFLECTION.
9
Clincial Classroom Practica – 40 Hours of Field Experience
TPE’s 1-13
Assignment Due Date
December 10
1. Classroom Practica Log w/Activity Description and Relationship to TPEs
175 points
You will record what you observed in relationship to a selected TPE concepts and/or your
participation during each classroom observation day on the Classroom Practica Log. Follow the
Classroom Practica Log template provided in the course syllabus to record and reflect each day.
For each observation day, select a TPE(s) for your area of observation focus and identify
activities, curriculum concepts and/or teaching practices that relate to the concepts of the TPE(s)
you identified. Give examples of a) what all, some or a few students can do with content, skills
of the lesson and b) what concepts/skills are difficult for students. For TPE 12 and TPE 13, you
can interview the classroom teacher to find evidence of these TPE concepts. You must complete
at least 40 hours of classroom practica for your classroom log to be graded. Classroom Practica
Logs that do not have the required 40 observation hours will not be scored. Classroom Practica
Logs are due with original teacher signature at the beginning of class on the above due date.
10
TE 303 - First Clinical Field Experience
Student Name:
Classroom Practica Log
Assigned School:
DATE
ACTIVITY DESCRIPTION and
RELATONSHIP OF ACTIVITY TO A TPE CONCEPTS
40 HRS
1)Activity description/lesson content/skills:
2) TPE focus:
3) Analyze what you observed in the classroom setting to your
focused TPE. Give specific evidence/examples to support your
analysis. (Refer to TPE criteria)
1)Activity description/lesson content/skills:
2) TPE focus:
3) Analyze what you observed in the classroom setting to your
focused TPE. Give specific evidence/examples to support your
analysis. (Refer to TPE criteria)
Total Hours _________
Signature of Student __________________________________
Date ________
Signature of Classroom Teacher _________________________
Date ________
11
TE 303 Lecture
Course Calendar – Lecture Schedule
1:00p.m. – 3:40p.m.
Lecture 235 Points
Monday
Lesson Objectives
Aug. 27
Course Orientation
 Approval and Placement Letters to Students
 Field Experience Requirements
 Student Learning Plans
 Teacher Performance Expectations TPE 1-13
Sept. 3
Meet with School Site Administrator for Approval of 40
hours of individual Field Experience Placement
Sept. 10
How the Brain Processes Information
 Sousa: Chapter 2
Sept. 17
Memory and Learning
 Sousa: Chapter 3
 TPE 4 Making Content Accessible to Students.
 TEST on Sousa Chapter 2
Retention and Learning
 Sousa: Chapter 3
 TEST on Sousa Chapter 3
Individual Field Experience at Assigned Schools
 No Lecture Class
Sept. 24
Oct. 1
Homework
Assignment
Pts
1. Schedule
Appointment
w/Principal of
Assigned School
2. Submit on
TaskStream:
Practice Assignment
due by Sept. 3
1. Placement
Approval Letter due
on Sept. 10
2. Sousa Reading:
Chapter 2
1. Sousa Reading:
Chapter 3
2. Chapter 2 test on
Sept. 17
20
1. Chapter 3 test on
Sept. 24
20
1. Sousa Reading:
Chapter 4-5
Oct. 8
Transferring and Organizing Learning
 Sousa: Chapter 4 and Chapter 5
 Test on Sousa Chapter 4 and 5 (pages 119-214)
1. Test on Ch. 4/5
Oct. 15
Academic Language Demands
 Language Proficiencies of English Language
Learners
 TPE 7
Context for Learning Assignment – due Oct. 29
1. Context for
Learning Assign.
20
12
Oct. 22
Oct. 29
Nov. 5
Nov. 12
Nov. 19
Promoting Critical Thinking
 Dimensions of Thinking
 Chapter 7
 TPE 5
CA Academic Content Standards
Assessing Student Learning
 Analyzing data
 Assessment Rubrics
 TPE 2- 3
 Context for Learning Assignment due
Planning Effective Lessons
 Sousa: Chapter 8
 TPE 1, 9
Computer Lab
Individual Field Experience in Assigned Schools
 No Lecture Session
Differentiating Instruction
Introduction to Performance Assessment for California
Teachers
Nov. 26
Lesson Plan Development
 Sequential Lesson Plan Assignment Due
Dec. 3
Effective Classroom Management
 Classroom Procedures/Routines
 Academic and Behavior Expectations
TPE 10-11
Child Abuse Mandated Reporting
 TPE 12
Dec. 10
Dec. 17
Context for Learning
Assignment Due
Oct. 29
40
1. Sousa Reading
Chapter 8
Sequential Lesson
Plan Assignment
due on TaskSteam
and hard copy due
on Nov. 26
Lecture Final Exam
115
pts
20
Assignments are to be completed via TaskStream unless otherwise directed by course instructor.
University Lesson Plan Format required for ALL lesson plans.
13
GENERAL DESCRIPTION
REFERRALS
The Judicial Procedures office is responsible for
acting on behalf of the University president regarding
all aspects of student discipline. The Judicial
Coordinator receives reports of alleged student
misconduct relative to Title 5, California Code of
Regulations, and investigates all complaints to
determine whether University disciplinary action is to
be pursued. University disciplinary action may run
concurrently with civil or criminal action initiated by
the court system. One type of judicial action does not
necessarily affect the other. Violations on the San
Diego State University campus include both academic
and non-academic misconduct.
Complaint against students by SDSU faculty, staff,
other students, and members of the campus
community should be directed to the Judicial
Coordinator as soon as possible after the incident.
Any evidence should be sent with the complaint.
Situations requiring immediate attention, e.g., serious
disruptions, crimes, or where there is violence or the
threat of violence, should be brought to the attention
of the Department of Public Safety (ex. 911)
immediately. For other police assistance, call 5941991.
ACADEMIC MISCONDUCT
University disciplinary action may be of a formal or
an informal nature. If of a formal nature, system wide
procedural guidelines established by the California
State University (CSU) Chancellor’s Office will be
followed. If of an informal nature, procedures
established by the San Diego State University Office
of Judicial Procedures, in accordance with the CSU
system wide guidelines, will be adhered to.
(Generally, disciplinary matter are handled in an
informal manner and appropriate sanctions imposed
by the Judicial Coordinator.
Academic misconduct includes the following
examples as well as any other similarly related
conduct which is aimed at falsely representing a
student’s academic performance, cheating,
plagiarizing, unauthorized collaborating on course
work, stealing course examinations or materials,
falsifying records or data, and intentionally assisting
another individual in any of the above.
TYPES OF DISCIPLINARY ACTION
NON-ACADEMIC MISCONDUCT
SANCTIONS
Non-academic misconduct includes the following
examples as well as any other similarly related
The term “disciplinary sanction” means any action
conduct which is in violation of Title 5, California
affecting the statues of an individual, as a student,
Code of Regulations, as interpreted and applied by
which is taken by the University in response to
San Diego State University: Obstruction or disruption
student misconduct. The term includes probation,
of the educational or administrative process, physical
suspension, expulsion, removal from a course, denial
abuse or the threat of such abuse, theft, vandalism,
of particular University privileges, and other less
hazing, harassment (including sexual and racial
severe action not enumerated here. Academic
harassment), use or possession of dangerous drugs or
sanctions, e.g., grade modification are the
weapons, misuse of campus documents, and violation
responsibility of the faculty.
of presidential orders (including Housing, Greek and
Organizations guidelines) which include but are not
limited to the alcohol policy, computer policy, etc.
Students should note that all course assignments for TE 303 are to be the individual work of each student and are
subject to the University policies stated above. Assignments which evidence plagiarism, copying, or other academic
misconduct will not receive any credit.
14
Injury Policy
TRADITIONAL: University teacher education students, who are placed or assigned at schools and
are under the supervision of school site Administrator(s) or Teacher(s), are to be treated as
University employees if and when the student is injured while at the site. Students are subject to
the Workers Comp protocol of the University.
If the injury is an EMERGENCY, students should IMMEDIATELY:
1.
Report the injury to their university instructor or supervisor via telephone message.
2.
Notify Irma Martinez (760) 768-5515 or Veronica Vadillo (760) 768-5670 who will FAX an injury
form to the site.
3.
Report to the nearest Emergency Room for treatment.
If the injury is NOT LIFE THREATENING:
1.
Report the injury to their university instructor or supervisor via telephone message.
2.
Notify either Irma Martinez (760) 768-5515 or Veronica Vadillo (760) 768-5670 who will FAX
an injury form to the site.
3.
Report to the Industrial Family Medical Care, 1441 State Street, Suite B, El Centro, CA 92243,
(760) 337-1771
Students are fully responsible for reporting according to the above protocol, in order to receive
timely treatment and to allow for the timely completion of all required State of California
accident forms.
Students who opt NOT to report according to university protocol and who select private
treatment are solely responsible for all costs that they incur.
INTERN: University teacher education students, who are officially enrolled in the University
State Intern Program and are employees of the school site in which they teach, are subject to
the Workers Comp protocol of their employing school districts.
WHAT TO DO IF YOU ARE INJURED AT A SCHOOL
SITE WHILE PARTICIPATING IN A UNIVERSITY COURSE
Policy does not apply to: Students who are officially enrolled in the University State Intern
Program, are substitute teacher employees, or are under a teaching contract. These
students are subject to the Worker’s Compensation protocol of the employing school
district.
 
Inform your supervisor immediately (i.e., student teaching supervisor or course
instructor).
15
o
o
You must report any injury to your supervisor within 24 hours, no matter how trivial the injury
may seem.
You will need to tell her/him when and where the injury occurred, what happened, and if anyone
witnessed the injury.
 
Once you report your injury to your supervisor, your supervisor will give you an
"Employee's Claim for Workers' Compensation Benefits" form to complete.
o
o
o
Your supervisor submits your claim form and a "Supervisor's Report of Work-Related
Accident/Illness" form to Business Services.
Business Services then forwards all completed forms to the Workers' Compensation Manager.
The Workers' Compensation Manager, in turn, reports the injury to our claims administrator,
Sedgwick CMS, P.O. Box 3170, Rancho Cordova, CA 95741.
o
o
o
o
Sedgwick CMS will make the final determination of whether your injury is work related and what
benefits you are entitled to receive.
Occasionally, however, the claims administrator may investigate the facts surrounding the injury
and will delay extending benefits.
You will receive a notice from the claims administrator shortly after the injury report is filed.
You will want to keep in close contact with the Workers' Compensation Manager and claims
administrator so there is no unnecessary delay.
  Your supervisor will refer you to Industrial Family Medical Care
o If you need first aid or medical treatment, your supervisor will refer you to Industrial Family
Medical Care, 1441 State Street, Suite B, El Centro, CA 92243, (760) 337-1771
o All medical bills and reports will be sent to Sedgwick CMS, P.O. Box 3170, Rancho
Cordova, CA 95741, the University's claims administrator.
o The Workers’ Compensation Manager needs to be aware of your continued absences due to the
injury.
o Please forward any medical status reports that you receive to Business Services, Workers’
Compensation Manager, and Center for Human Resources, along with a copy to your supervisor.
  Inform your doctor of San Diego State University's policy to provide you, if necessary,
with modified work (or light duty) while you are recovering from a work-related illness or
injury.
o
o
Such positions will be temporary in nature and will be monitored by your immediate supervisor,
department manager and Workers' Compensation Manager.
Job restrictions, as defined by treating physicians, will be strictly adhered to.
  Inform your supervisor and the Workers' Compensation Manager if you are off work
due to the injury or illness.
o
If you are off work for any period of time, you must keep your supervisor and the Workers'
Compensation Manager informed of your progress and provide periodic updates from your
physician.
  The Workers' Compensation Manager, your supervisor and our claims administrator
will be in contact with you.
o
If you have any questions or concerns, be sure to call Jennifer Acfalle, Assistant Benefits
Manager, (619) 594-1142.
16
San Diego State University – IV Campus
LEARNING PLAN
Student Name:
Student ID#:
Address:
Phone #:
Course Instructor:
Email:
Barbara Layaye
Semester:
School Site:
Email:
Principal:
Phone #:
Supervising Classroom Teacher:
Phone #:
Approximate # of Hours: 40 Hours
Beg. Date:
Fall 2013
August 27, 2013
End Date: Dec. 10, 2013
Learning Objectives: What are the learning objectives of this service experience?
To provide exposure and awareness of instructional methodologies and the dynamics of
teaching in an educational setting in relation to the 13 Teacher Performance Expectations (TPEs).
Service Objectives: Identify and describe the nature of the service activities in which you will be engaged.
Activities during the 40 hours of field experience include observing and participating in
appropriate instructional interaction in a classroom setting under the supervision of a certificated
teacher verified by a classroom participation log.
Site Supervisor:
Agrees to guide this student’s work and to submit a brief final evaluation of his/her achievement upon request.
Agrees to discuss any concerns about the service learner’s performance with him/her directly, and with the course
supervisor or other appropriate university personnel as necessary.
Classroom Teacher or Principal
Signature:
Date:
Faculty/Course Supervisor:
I have examined and approved this learning plan.
Faculty/Course Supervisor
Signature:
Date:
Student Initials_________
17
Learning Plan
The Student agrees to abide by the following Guidelines and Limitations:
 Ask for help when in doubt: Your site supervisor understands the issues at your site and you
are encouraged to approach him/her with problems or questions as they arise. He/She can
assist you in determining the best way to respond to difficult or uncomfortable situations. Feel
free to contact your professor or the service learning office with questions concerning your
placement.
 Be punctual and responsible: Although you are volunteering your time, you are participating in
the organization as a reliable, trustworthy and contributing member of the team. Both the
administrators and the person(s) whom you serve rely on your punctuality and commitment to
completing your service hours/project throughout your partnership.
 Call if you anticipate lateness or absence: Call the school site if you are unable to come in or if
you anticipate being late. Be mindful of your commitment, people are counting on you.
 Respect the privacy of all clients: If you are privy to confidential information with regard to the
person(s) with whom you are working (i.e. organizational files, diagnostics, personal stories, etc).,
it is vital that you treat it as privileged information. You should use pseudonyms in your course
assignments if you are referring to clients or the people you work with at the service site.
 Show respect for the community-based organization you work for: Placement within
community programs is an educational opportunity and a privilege. Keep in mind, not only are
you serving the community but the community is serving you by investing valuable resources in
your learning. Inappropriate behavior, as defined by your organization’s guidelines and operating
procedures, can be grounds for reassignment or termination of your service assignment.
 Be appropriate: You are in a work situation and are expected to treat your supervisor and others
with courtesy and kindness. Dress neatly and appropriately. Use formal names unless instructed
otherwise. Set a positive standard for other students to follow as part of CSU’s ongoing Service
Learning Program.
 Be flexible: The level or intensity of activity at a service site is not always predictable. Your
flexibility to changing situations can assist the partnership in working smoothly and producing
positive outcomes for everyone involved.
Limitations
 DON’T report to your service site under the influence of drugs or alcohol.
 DON’T give or loan money or other personal belongings to anyone at the school site.
 DON’T make promises or commitments to a school/classroom teacher you cannot
keep.
 DON’T give a students or school representative a ride in a personal vehicle.
Student Initials __________
18
 DON’T tolerate verbal exchange of a sexual nature or engage in behavior that might be
perceived as sexual with a client or community organization representative.
 DON’T tolerate verbal exchange or engage in behavior that might be perceived as


discriminating against an individual on the basis of their age, race, gender, sexual
orientation, ability, or ethnicity.
DON’T engage in any type of business with clients during the term of your service.
DON’T enter into personal relationships with a client or community partner
representative during the term of your service.
* If you feel that your rights have been or may be violated, or that any of the above stated limitations
have been violated please contact the site supervisor and/or instructor.
The Student:
Agrees to act in a responsible manner while representing California State University at the
service learning placement site, and abide by all rules and regulations that govern the site in
which he/she has been placed.
Understands the connection between the service-learning course, and the service and learning
objectives to be fulfilled at the service site.
Has or will participate in an orientation and read the above stated guidelines and limitations
and understands his/her role as a service-learning student in working with the community
partner.
Agrees to devote a total of 40 hours during the Fall 2013 semester in order to fulfill the
service objectives described above.
Agree to complete any forms, evaluations or other paperwork required by either the course or
the site supervisor.
I have read and understand the entire learning plan.
Student Signature:
Date:
19