College of Education Early Childhood Special Education

Forms Tracking

Use this document to track the forms required for practicum.

Form Timeline Submitted to
Student Information Form Week 1 US, CP
Competency Rating Scale – Initial Week 2 US, CP
Competency Rating Scale – Midterm At least 24 hours before midterm 3-way meeting US, CP
Competency Rating Scale – Final At least 24 hours before final 3-way meeting US, CP
Observation Guides (3 required) First two weeks of practicum US
Contract Checklist – Initial Completed with US & CP at first 3-way meeting US, CP
Contract Checklist – Midterm At least 24 hours before midterm 3-way meeting US, CP
Contract Checklist – Final At least 24 hours before final 3-way meeting US, CP
Semester Calendar At first 3-way meeting US, CP
Request for Observation Form At least 24 hours before pre-observation meeting with US US
Weekly Plan
Weekly
US
Lesson/Session PlanAt least 24 hours before pre-observation meeting with US

US

Post-Observation Reflection Form Within 48 hours after an observation occurs US
Timesheet Weekly US
Other Documents To be decided with CP & US as needed US, CP
Video Permission Form
As needed if videos are recorded
US, CP
EI Supervision Verification Form At end of semester, if needed Program coordinator

Note: PS = Practicum student, US = University supervisor, CP = Cooperating professional

Forms Tracking, 12.19.24 (docx)
34 KB
College of Education Early Childhood Special Education
Email: jesskh@illinois.edu