Clinical Field Experience Verification Form

STUDENT INFORMATION
Last Name Cannamore

First Name Portia

Student Number 21009821

COURSE INFORMATION
Placement Course POS-500

FACILITY INFORMATION
Facility Name FINDLAY MIDDLE SCHOOL

Type of Facility Middle School Facility Setting Urban

Other Facility

Address 333 W TROPICAL PKWY

City NORTH LAS VEGAS State NV Zip Code 89031

SCHOOL INFORMATION
School Classification Public Title One (I) Yes

School District CCSD

PRACTICUM INFORMATION
Please describe the activities completed (e.g. Observation, Partner Teaching, Grading, Independent Small Group
Activities
Instruction, Independent Whole Group Instruction, Interview, Administrative Duties)
I am a long term substitute for Findlay Middle School. I started full-time January 19, 2023. I instruct students or ART and ART History. I
provide work for students to complete in relation to the topic. I create art and provide instructions to students. I observe and grade students
based off their performance.

Date Practicum Activities Started 1/19/2023 Date Practicum Activities Ended 1/25/2023
Total Practicum Hours Completed By Student 99

AGREEMENT AND SIGNATURE

I, the above named, GCU student attest this submission is accurate, true and in compliance with GCU policy guidelines, to the best of my
ability to do so. NOTE: The data entered into this document may be audited for accuracy. GCU students who engage in fabricating,
falsifying, forging, altering, or inventing information regarding practicum/field experiences and/or the log may be subject to sanctions
for violating GCU academic integrity policies, which may include expulsion from GCU.

Student E-Signature Portia Cannamore esigned on Wednesday, January 25, 2023 1:50 PM

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