English 1103, The Human Experience Spring 2015 Semester R. Andrew Brown, Instructor Profile/Practicum ‘As a student at the University of North Carolina at Charlotte, enrolled in English 1103, Accelerated College Writing and Rhetoric, |, the undersigned, realize that | have to find and achieve approved placement for myself, and complete a miniature practicum called “The Human Experience.” | will abide by all rules and guidelines established by the course instructor (R. Andrew Brown): | will also abide by all rules and guidelines established by either my profile subject, person or place, all appropriate parties indicate acceptance by signing below. By signing this statement, | agree to these terms and accept the task of completing the practicum and associated assignments (field notes/blog entries, formal and informal course work) to the best of my abilities. |, the undersigned, pledge to keep all specifics regarding individuals, their cases, and sensitive materials Confidential. | will not discuss these matters with anyone outside my peer response group and the course instructor, and all class work assigned in relation to this practicum (The Human Experience) will deal with individuals only when they have agreed, explicitly, to be singularly identified. To do this, | must procure the individual's written permission with signature and date to accompany my works. Otherwise, the individual falls under the next category, following. Those individuals who do not agree, explicitly, in written form with signature and date, must be excluded from my written materials, including blog reflections and formal assignments, save by anonymous Fepresentations, | will not and cannot discuss situations and context regarding these individuals using identifying materials, save for my peer response group and instructor. If necessary for the integrity of my work's context and content, | will change their names and specifics to protect their privacy and my professional credibility Furthermore, if| am revealed to have breached this confidentiality, which takes the form of a binding legal and academic contract, then | forfeit the remainder of my practicum at this location, requiring me to start anew with a new profie subject, beginning my academic field work and written components anew. More 0, | must draft a written appeal to my English 1103 instructor (R. Andrew Brown) to retain my current grade-evaluation status. Failure to do so indicates that | have wilingly accepted forfeiture of my grade for this portion of the course, and most likely, will fail the term because of such. Written appeal will take the form of a standard proposal, not more than one page, containing the information as to why the infraction was accidental, how it will be rectified, and why course evaluation should not be discontinued. If my profile subject deems that | have violated this confidentiality statement, he/she must notify me immediately (if applicable), and then, jointly, we will notify the course instructor (R. Andrew Brown), determining the best course of action to take together. Furthermore, if my profile subject deems that I hhave Violated the conventions of the practicum’s location (dress code, actions, language, etc.) or population (residents, visitors, etc.) and have acted in a thoroughly unprofessional manner, he/she must Notify me immediately, informing me of what infraction has been committed, how it may be rectified, and discuss whether dismissal or if reprimand. should occur, and regardless of infraction degree or outcome, ‘tification with the course instructor (R. Andrew Brown) will occur. AAs the undersigned, | agree to follow all policies and rules which apply to me at the site of my practicum experience, bowing to my profile/guide’s judgement. Particularly, if a schedule has been set, | am responsiole for being present, on time, properly equipped and ready to begin observation, and if applicable, participation. Should | miss scheduled practicum times, I am responsible for acceptingresponsibilty for my actions, including any sanctions deemed necessary by the practicum guide. ‘Absence should be cleared with the experience guide prior to occurring, if possible, as expected of anyone functioning in a professional setting. This confidentiality and policy statement is required for initiating the practicum; therefore, this form must be signed by all those indicated below and returned for safekeeping in the course records. A copy must be made available and provided for each party upon request. The practicum cannot officially begin unt this requirement has been met. |, a8 student, ggpee to what aboys-ati wilingly sign this contract Printed Nani Gr, roe Bryan Moreno |, as Profile Subject (individual or site manager), agree to what is stated above end willing sign this contract as monitor. Signature: Printed Name: Date: |, as course instructor, agree to what is stated above and willingly sign this contract as broker. Signature: Printed Name: Date