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:     Elton Taylor Baldy      

Address during Internship:     2210 Melanna Dr. Tifton Ga 31793      

Phone Number:     (229) 873-4841         Email:       ebaldy@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:     John Lindsey      

School:     Worth County High School     Principal's Name:     Dr. Barbara Thomas      

School Address:     406 West King Street. Sylvester. GA 31791      

School Phone #:   229-776-8625   Co. Teach Home Phone #:

Coop. Teacher Email:     jlindeys@uga.edu       

DAILY SCHEDULE

Period No.

Time of Class

Course Title

Grade Level

Starting Date

Ending Date

1

8:12-9:50

Landscape

9-12

2-5

4-6

2

9:55-11:35

Horticulture

9-12

2-5

4-6

3

11:40-1:40

Basic Agriculture Mechanics

9-12

2-5

4-6

4

1:46-3:16

Lunch/Planning

9-12

2-5

4-6

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

Feb.,19 Presidents Day,Spring Break April 2-6,

Directions to School:

Located 406 West.King St. Sylvester Ga 31791 in central Worth County