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Directed Teaching Triad Meeting Checklist (DT10)

Please NOTE: This form will NOT SAVE if you begin it now and return later to finish and submit. Please complete and submit the form in one session.

Once submitted, copies will be sent to the RTEC student, the cooperating teacher, and the university supervisor. Questions? Contact Rebecca Perini at rperini@wlu.edu.

* Date:

* Student Teacher:

* Email:

Phone:

* Cooperating Teacher:

Clinical Faculty Trained:

YesNoPlans to attend this year

* Email:

Phone:

* University Supervisor:

* Email:

Phone

* School:

* Grade level/subject:

DISCUSSION TOPICS for Triad: Student Teacher, Cooperating Teacher, University Supervisor *

Notes, dates, other: