Field Placement Survey Fall 2014

1. Fall 2014 - Field Placement Survey

In order to assist the Education Department at SUNY Orange in making an appropriate field placement, please answer the questions below.

*Questions preceded by an asterisk (*) are required to be completed.
1. Please enter your contact information below:
2. Select the class that you are enrolled in (that requires field observation hours)
3. Please select your top 3 choices for a geographical area to which you would be able to travel for your field placement.

Please note, that while we will try our best to place you according to your preferences, we cannot guarantee that we will be able to do so.
1st Choice2nd Choice3rd Choice
Middletown - Placements in the Middletown School District will require a meeting with an Assistant Superintendent and possible School Board Approval
New Windsor
Pine Bush
Port Jervis
Valley Central
West Point
4. Which grade level do you prefer?
5. Do you have a special request for a particular placement site?
6. If you selected, yes, you have a special placement request; please complete the information below as specifically as possible:
7. Is there anything else you think we need to know in order to help select a field placement for you?