COLLEGE OF ARTS & SCIENCES,
AND
EDUCATION
Office of Field Services and Professional Development Schools
2500 West North Avenue, Baltimore, Maryland 21216
Grace Hill Jacobs Room 709; (410) 951 – 3081
“Educator as a Reflective Facilitator of Learning”
Revised Fall 2015
INTERN’S PROFILE SHEET
Semester, Year: ______________________________________
Intern’s Name: _____________________________________ Student ID #: ______________
Mailing Address: _________________________________________________________________
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Home Phone Number: _________________________________________________________________
Cell Phone Number: _________________________________________________________________
Email Address: _________________________________________________________________
Major: ________________________________________ Minor: __________________________
Current Employer (If Applicable): ____________________________________________________
Job Title (If Applicable): __________________________________________________________
Courses Taking This Semester: __________________________________________________________
Methods Information
Methods Course Instructor Site/School Hosted Semester/Year Taken
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Notes:_______________________________________________________________________________
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