VERIFICATION OF PLACEMENT – Fall, 2006

Instructions: Complete this form and mail to your university supervisor, Department of Agricultural Leadership, Education, and Communication, 110 Four Towers, University of Georgia, Athens, GA 30602, no later than the first week of student teaching.

Name of Student Teacher:     James (Jimmy) Scott      

Address during Internship:     159 Trojan Way; Douglas, Georgia 31533      

Phone Number:     912-384-2689         Email:       jimmyscott@coffee.k12.ga.us     

(Note: List the teacher’s name as it should appear on official documents. If more than one cooperating teacher, list the one who has the greatest supervisory role.)

Cooperating Teacher:          

School:     Coffee High School     Principal's Name:     Dr. Greg Tanner      

School Address:     159 Trojan Way; Douglas, Georgia 31533      

School Phone #:   912-384-2689   Co. Teach Home Phone #:

Coop. Teacher Email:           

DAILY SCHEDULE

Period No.

Time of Class

Course Title

Grade Level

Starting Date

Ending Date

1

8:15 - 9:50

Basic Ag Science

9-12

7-1-2006

6-30-2006

Dates that you will not be in class (i.e., Spring Break, holidays, fair dates, CDEs, testing dates, etc.):

School calendar attached.

Directions to School:

Take US 441 north out of Douglas for about 1 mile. Signs will be on left; follow the signs to school