DAEMEN COLLEGE
EDUCATION DEPARTMENT/CANADIAN SCHOLARS PROGRAM
PRACTICE TEACHING PAYMENT FORM
Student Teacher:
Email Address:
ID#:
School Board:
School Name:
School Address:
City:
Postal Code:
School Phone:
Associate Teacher:
Home Address
City:
Postal Code:
Faculty Associate:
STUDENT'S ATTENDANCE HISTORY:
Start Date:
Finish Date:
Days Absent:
Please specify dates and reason(s) given:
Total Days
Student Teacher Attended:
Please note - observation days are NOT included.
Amount Due: $270.00 US
When completed - please