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Department of
Communicative Disorders & Sciences

Forms

Undergraduate Forms
Academic
Clinical
Pre-clinical Observation Hour Log Lesson Plan
Pre-clinical Observation Hour Report Undergraduate Practicum Daily Hour Log
  Undergraduate Practicum Student
Evaluation of Supervisor
  Oral Discourse Rubric
  Educational Recording Consent & Release
  Evaluation Request
  Evaluation Planning
  Permission to Observe - Adult
  Permission to Observe - Child
  Editing/Revision Checklist for Progress Reports
  Release of Information
  Daily Activity Log
  Student Course Schedule
  (Green Sheet) Supervised Clinical Experience Excel spreadsheet
  Codes for completion of Green Sheets (MS Word file)

Graduate Forms
Academic
Clinical
Graduate Information Guide Graduate Practicum Daily Hour Log
  Practicum Supervisor Evaluation of
Off-Campus Student (CDSC 585 or 587)
  Evaluation Request
  Release of Information
  Graduate Practicum Student
Evaluation of Supervisor
  Educational Recording Consent & Release
  Daily Activity Log
  Oral Discourse Rubric
  (Green Sheet) Supervised Clinical Experience Excel spreadsheet
  Codes for completion of Green Sheets (MS Word file)

Student Teaching Forms

Please Note: Paper copies of these forms may be obtained by contacting:

Department of Communicative Disorders and Sciences, 218 Sturges Hall, SUNY,1 College Circle, Geneseo, NY 14454
585-245-5328 colts@geneseo.edu.

Assistance in completing these forms is available by contacting:

Tabitha Buggie-Hunt, Director of Disabilities Services, Office of the Dean of the College,105 Erwin Hall, SUNY, 1 College Circle, Geneseo, NY 14454
585-245-5112 tbuggieh@geneseo.edu

 


 



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Department of Communicative Disorders & Sciences • 218 Sturges Hall • Geneseo, NY 14454 • 585-245-5328
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