Graduate Field Experience Data Collection Form

This form is for graduate-level field experiences in the Master of Education or Education Specialist programs only.

Instructions: Using the data you collected during a field experience, record the appropriate data from your experience on this form.

Please print a copy of this data form for your records once you have completed it.

Once you have completed and printed the form, click Submit.

Enter your last name.
Enter your first name.
Enter your MSU ID (Banner Self-Service ID).
Enter your e-mail address (e.g., yourname@yourdomain.com).

Select your academic program.

Select the semester.

Enter the year.

Select the course ID.

Enter the course number.

Enter the duration of this field experience for each of the following activities. Note: You must enter a value for each subject in hours. Use .25, .5, and .75 to indicate 15-, 30-, and 45-minute intervals, respectively. Enter a zero for activities not included in this field experience. Use numbers only--not text.

Administer assessment instrument(s)
Assess and evaluate method of instruction
Design and implement a unit of study
Design and prepare a learning center
Diagnose and remediate student(s)
Observe young child using developmental checklist
Observe and interview an educator
Research study (data collection in field)
Study of early childhood center
Supervise assessment and teaching
Videotape classroom teaching
Videotape pre- post-observation conference
Other

Select the type of class.

Select the grade level/setting.

Select the type of school.

Select all ethnicities represented.
Select the parish.

STOP!
Use your Web browser's PRINT function to print a copy for your records BEFORE you click Submit. Note: Using SAVE or SAVE AS will save a copy of the form, but your data will be lost.

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