VERIFICATION OF PLACEMENT – Spring, 2007

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:     Matthew Waters      

Address during Internship:     1562 Pinyan Rd. SE Ranger, GA 30734      

Phone Number:     (770)-608-6666         Email:       mkwaters@uga.edu     

(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:     Mr. Jack Barnes      

School:     Pickens High School     Principal's Name:     Mr. Tommy Qualls      

School Address:     500 Dragon Drive Jasper, GA 30143      

School Phone #:   (706)-253-1800   Co. Teach Home Phone #:

Coop. Teacher Email:     jackbarnes@pickens.k12.ga.us       

DAILY SCHEDULE

Period No.

Time of Class

Course Title

Grade Level

Starting Date

Ending Date

1

7:50-9:23

Agricultural Food Science

9-11

2/5

4/30

2

9:31-11:03

Basic Agriculture Science

9

2/5

4/30

3

11:11-1:17

Planning/Lunch

2/5

4/30

4

1:25-3:00

Agriculture Cooperative Training

11-12

2/5

4/30

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

Winter Break: February 19-23; State Livestock Show (Perry): February 21-24; Agriculture Marketing and Job Interview Competition February 8; State FFA Convention April 26-28.

Directions to School:

From Atlanta; go north on Interstate I-75 to Interstate I-575. Follow I-575 to Hwy 53 in Pickens County. Go East on Hwy 53 until you reach Pickens High School on your left (500 Dragon Drive).