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Special%20 consideration%20for%20pe%20placement

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  • 1. School of EducationProfessional Experience2011 Special Consideration for Secondary Professional Experience Placement CONFIDENTIALI provide the following information for my Focus Day variation request:Name:Student ID:I am currently enrolled in the Unit: (Please circle or highlight relevant unit.)101704 Professional Experience I; or100978 Professional Experience III am studying in one of the following modes: (Please circle or highlight relevant mode.) • Accelerated (2 semesters) • Full time (3 semesters) • Part time (4+ semesters)I provide the following reason for requesting special consideration during my in-school professionalexperience placement:I attach supporting documentation (if applicable), eg. a doctor’s certificate.Pre-service Teacher’s signature:Date:OFFICE USE ONLYAPPROVED/NOT APPROVED:__________________________________________COMMENTS:_______________________________________________________Name & Signature: _________________________________________________Date:_________________Action taken by PE Unit_________________________________________________________ Please submit to the Professional Experience assignment box 38.