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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

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