DOMINICAN
UNIVERSITY school of information Studies
School Library Media Program
PRE-CLINICAL EXPERIENCE REPORT (one form per site)
re Ammasdla, kt acrauesive | 118
4 Shay AS LQ
Student's report based on one or more of the illinois Content Area Standards for Library
Information Specialist (Isted on back)
sercort? 2: TS School consisted of pre -% thyourl 8
HAO Ova \vox. ceNECn ane Drefca rn des
School Name
Name of Cooperating Librarian
Gand ocd 1: en ated tre LihraryS evhve
UVIMIUMN Ae 2OMaNCe ghinlind Warnint
nee
Cooperating Library Media Specialist's comments:
es <—— Zasy
‘Clock Signatule of Cooperating Date
Date Hours Ubrary Media Specialist
a
Chas Lh Ds 21254
itufe of Student Date
NOTES:
Pre-clinical hours mus! encompass the full K-12 range.
A maximum of 25 hours per site may be applied to the required
hours
71 hws.
Z 7 ‘A digital copy of this completed formis required for the Clinical
Practice Application.
7900 Wes Division Shee! » River Forest IL» 40305 Rev. 3/2018
708-524-6845 « fox 708-524-6557 « srrp@com.ecu