VERIFICATION OF PLACEMENT – Fall, 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:     Charles Justin Pinson      

Address during Internship:     812 Pineview Ave. Tifton, Ga. 31794      

Phone Number:     229-848-4760         Email:       pinsoncj@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:     Carl Nichols      

School:     Tift Co. High School Northeast Campus     Principal's Name:     Craig Mathews      

School Address:     3021 Fulwood Rd. Tifton, Ga. 31794      

School Phone #:   229-387-2450   Co. Teach Home Phone #:

Coop. Teacher Email:     cnichols@tiftschools.com       

DAILY SCHEDULE

Period No.

Time of Class

Course Title

Grade Level

Starting Date

Ending Date

1

8:10 - 9:40

Horticulture

9

2

9:45 - 11:15

Agriscience

9

3

11:20 - 1:35

Agriscience

9

4

1:40 - 3:10

Planning

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

N/A

Directions to School:

N/A