TEACHER EDUCATIONAPPLIED LEARNING TIME SHEET

Candidate’s Name: / EKU ID #: / Major:
Email Address: / Phone: / COURSE:EDF 319
Applied Learning Course: EDF 349R
School Name: / Phone:
School Address:
Teacher Supervisor’s Signature / Date:
Candidate’s Signature / Date:
EKU Faculty Coordinator’s Signature / Date:
CHECK BOXES THAT ARE APPLICABLE TO THIS APPLIED LEARNING EXPERIENCE
A. Engagement with diverse populations of students which include:
YES NO /
  1. Students from a minimum of two different ethnic or cultural groups of which the candidate would not be considered a member

YES NO /
  1. Students from different socioeconomic groups

YES NO /
  1. English language learners

YES NO /
  1. Students with disabilities

Early Childhood
Elementary
Middle School
High School /
  1. Students from across elementary, middle school, and secondary grade levels
Note: If you are completing experiences at more than one level, complete a separate time sheet for each level.
START
DATE / END
DATE / HOURS
COMPLETED / ASSIGNMENT
B. Observation in schools and related agencies, including but not limited to: Family Resource Centers or Youth Service Centers / Assignment 4
C. Student Tutoring / Assignment 2
D. Interaction with families of students / Assignment 3
E. Attendance at school board and school-based council meetings / NOT REQUIRED FOR THIS COURSE
F. Participation in a school-based professional learning community / NOT REQUIRED FOR THIS COURSE
G. Opportunities to assist teachers or other school professionals / Assignment 1
TOTAL HOURS

APPLIED LEARNING DAILY LOG

Expand the rows as needed before you begin to log your hours

DATE / START
TIME / END
TIME / HOURS
COMPLETED / Teacher
Supervisor
Initial / Assignments
B. Observation in schools and related agencies, including but not limited to: Family Resource Centers or Youth Service Centers / Assignment 4
C. Student Tutoring / Assignment 2
D. Interaction with families of students / Assignment 3
E. Attendance at school board and school-based council meetings / NOT REQUIRED FOR THIS COURSE
F. Participation in a school-based professional learning community / NOT REQUIRED FOR THIS COURSE
G. Opportunities to assist teachers or other school professionals / Assignment 1

EKU Professional Dispositions (abridged): 1. Demonstrates professionalism, including attendance and punctuality. 2. Demonstrates a positive “can do” attitude, is accepting, inclusive and flexible and fair-minded. 3. Demonstrates effective oral communication skills. 4. Demonstrates effective written communication skills. 5. Exhibits an appreciation and value for diversity. 6. Is prepared to teach and/or learn, is capable of good professional judgment and quality work in a timely manner. 7. Collaborates effectively with others while maintaining confidentiality. 8. Is a self-directed learner. 9. Exhibits the emotional intelligence to promote personal and educational goals. 10. Reflects on one’s own teaching and learning. 11. Focuses on individual student needs and exhibits a belief that ALL students can learn. 12. Demonstrates appropriate professional appearance.

Return Completed Form To Your EKU Faculty Coordinator By The Course Deadline