Student Placement for Continuing Education in the Graduate School of Education (CEED) at Portland State University in Portland, Oregon

Name			Term
Enrolled in:		Initial Library Practicum	Advanced Library Practicum

I am requesting a placement at the following grade level:
		Elementary		Middle School		High School

School District :
School Preference (if any):
Home Phone Number:
Cell Phone Number:
Work Phone Number:
Work Site:
Work Address:
Home Email:
Work Email:
Please list three goals that you have for this library practicum experience:
1.
2.
3.
Please email an electronic copy of your resume to fieldplacement@pdx.edu as an email attachment in RTF, TXT, MS Word, or PDF format. Indicate "Library Media program" in the subject line.