EDAS 1271 & 1371: L10/L15/S20/S25 Personal Information First Name Last Name Student Number KPU Email Section # (L10, L15, S20, S25) Address City Postal Code Phone Closest Crossroad Practicum Request 1st Choice - Select -AbbotsfordChilliwackCoquitlamDeltaFrancophone (For French speaking EDAS students)Langley/SurreyMissionNorth VancouverRichmondVancouver (must have proof of Vancouver address) 2nd Choice - Select -AbbotsfordChilliwackCoquitlamDeltaFrancophone (For French speaking EDAS students)Langley/SurreyMissionNorth VancouverRichmondVancouver (must have proof of Vancouver address) 3rd Choice - Select -AbbotsfordChilliwackCoquitlamDeltaFrancophone (For French speaking EDAS students)Langley/SurreyMissionRichmondVancouver (must have proof of Vancouver address) 4th Choice - Select -AbbotsfordChilliwackCoquitlamDeltaFrancophone (For French speaking EDAS students)Langley/SurreyMissionNorth VancouverRichmondVancouver (must have proof of Vancouver address) 5th Choice - Select -AbbotsfordChilliwackCoquitlamDeltaFrancophone (For French speaking EDAS students)Langley/SurreyMissionNorth VancouverRichmondVancouver (must have proof of Vancouver address) Independent School You may be interested in doing your practicum at an independent school. We are happy to look into that for you. Please list those above. Remote Placement Have you ever been curious about what it would be like to live and work in a town outside of the Lower Mainland and Fraser Valley? Completing a practicum in such a place is possible and may be the opportunity you’ve been looking for. Perhaps you have a relative or friend you can stay with. Past locations have included Kelowna, the Gulf Islands, the Sunshine Coast and the Similkameen valley. Note that you are not guaranteed your choice of district or both an elementary and secondary placement. Although we will make every effort to place you close to home please be aware that you may need to travel up to 1 hour to reach your placement school. For students currently working in a school I am currently working for the Working In a regular posting In a long-term substitute position On the on-call list As a noon-hour supervisor I am currently working remotely as an Education Assistant Time Full time Part time I am working in a posting or as a long-term sub at I am requesting that I complete my practicum in this position Yes No Placement Considerations (Schools you cannot be placed at) My children/relatives attend I graduated from (high school you attended) I volunteered or have connections at Schools I cannot be placed at Other considerations* *transportation limitations, medical information or notes for Christina Transportation Do you rely on transit? Yes, I will take transit to my practicum placement No, I have access to a vehicle for practicum