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SDCCD Work Experience - Alt Site Visit Fall 2022
REQUEST MUST BE SUBMITTED AND APPROVED BY DEAN BEFORE SEMESTER ADD/DROP DATE
FORM INSTRUCTIONS:
WE faculty must submit an Alternative Site Visit Request Form for
EACH CN #
that you would like to request alternative remote site visits for.
1. Complete all sections of this form (1 form submission per faculty needed)
2. Upload an
Alternative Site Visit Course Roster Form
for each WE course you are teaching this semester
3. Click 'Submit' form
4. Designated Dean of Work Experience will review form
5. WE faculty will receive an email notification of request approval
6. Upon Dean approval, WE faculty may coordinate individually with each student as to how site visits will occur based on preference (in-person vs. remote)
Questions or need accommodations?
Please contact
sfawcett@sdccd.edu
to contact the Work Experience Coordinator for more information.
CAMPUS INFORMATION
Campus:
*
City College
Mesa College
Miramar College
Academic Term & Year:
*
Please select
Fall 2022
INSTRUCTOR & WORK EXPERIENCE INFORMATION
Instructor Name:
*
Instructor Email:
*
Program / Discipline:
*
Work Experience Course:
*
List the WE course you are teaching this semester (ie: BUSE 270)
Dean of Work Experience:
*
Provide name of authorized WE Dean at your designated campus.
Dean of Work Experience Email:
*
ALTERNATE SITE VISIT COURSE ROSTER FORM
Alternative Site Visit Course Roster Form - File Upload
*
Add File
READ BEFORE SUBMITTING:
WE Faculty will need to submit only 1 Alternative Site Visit Request including each of your course sections to cover all students enrolled. Upon Dean approval, WE faculty can coordinator individually with each student as to how site visits will occur based on preference (in-person vs. remote).
INSTRUCTIONS: Please download this google sheet as an Excel file and save to your computer. Comple the following course roster and details for EACH CN # that you would like to request alternative remote site visits for. Save each form as an Excel or PDF file to your computer and upload the document into the Work Experience Alternative Site Visit Request form (link changes each semester).
Alternative Site Visit Course Roster Form
(Click link to open file)
JUSTIFICATION FOR ALTERNATE SITE VISIT(S)
Provide rationale for selection and use of alternative site visit method(s):
*
WORK EXPERIENCE INSTRUCTOR REQUESTER SIGNATURE
Instructor Signature
*
Clear
Please use your computer mouse cursor or finger on a tablet to physically sign your name as you would for a wet signature.
Date
*
MM
/
DD
/
YYYY
WORK EXPERIENCE DEAN APPROVAL
*NOTE: WE faculty may skip this section. To be completed by campus Work Experience Coordinator
Work Experience Dean Approval Notes:
Report name of WE Dean and date electronic approval was granted for request.
