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:     Blake Kendrick      

Address during Internship:     7091 Bussey Rd. Sycamore, Ga. 31790      

Phone Number:     (229) 567-7439         Email:       bkendrick@irwin.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:     Shayla Kisling      

School:     Irwin Co. High     Principal's Name:     Bobby Conner      

School Address:     149 Chieftain Circle Ocilla, GA. 31774      

School Phone #:   (229)468-9421   Co. Teach Home Phone #:

Coop. Teacher Email:     skisling@irwin.k12.ga.us       

DAILY SCHEDULE

Period No.

Time of Class

Course Title

Grade Level

Starting Date

Ending Date

1

8:10-10:00

Planning period

9-12

2-5-07

2

10:05-11:35

General Horticulture

9-12

2-5-07

3

11:40-1:35

Basic agriculture

9-12

2-5-07

4

1:40-3:10

Basic agriculture

9-12

2-5-07

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

February 19, February 21-24, March 2-3, March 9, April 2-6, April 26-28

Directions to School:

Come into Ocilla from Tifton. Once in Ocilla go straight until you reach the first redlight, then turn right. Go past the courthouse(ON THE RIGHT) past there is a sign.Turn left at the intersection and follow the road to the second road on the right. Turn on the second road to the right and follow the road to the school.