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Elementary Education Foundations - Verification of Volunteer Classroom Hours
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* Indicates required question
Name (last, first, middle)
*
Your answer
U of M ID number (if known)
Your answer
Elementary school site where hours were completed
*
Please complete a separate form for each site.
Your answer
School district
*
Your answer
School address
Your answer
Phone number
Your answer
Website
Your answer
Supervising teacher's name
*
Your answer
Total hours in this classroom
*
Your answer
Grade level(s)
*
Your answer
Describe the population you worked with, e.g. racial/ethnic and socioeconomic background, gender, language, religion, geography, sexuality, special needs.
*
Your answer
Description of activities in which you engaged at this site
*
Your answer
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