• Harrison Central School District

    Harrison Central School District

    Student Teacher/Intern - Classroom Observation Request Form
  • Pre-service teacher certification candidates who wish to complete their student teaching/internship or observe classes in the Harrison Central School District must:

    1. Submit this completed form at least 30 days before the requested assignment is to begin. Without prior approval, a pre-service teacher cannot be assigned to a student teaching/internship or classroom observation experience in the Harrison Central School District.
    2. Give consent for the Harrison Central School District to access your fingerprint clearance report through NYSED TEACH (no cost) OR consent to a background check and assume the cost of the background check (approximately $150).
    3. Submit a current resume.
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  • Confidentiality Agreement

    1. I understand that I may come in contact and/or have access to confidential
      information including, but not limited to, names, facts and/or information about individuals, businesses and/or families.
    2. I understand and agree that the definition of confidential information includes all documentary, electronic or oral information made known to me during my placement including, but not limited to, information regarding students, employees, the school district, and/or other protected information.
    3. I agree that I shall not reveal, publish, discuss, disclose or communicate such
      confidential information, directly or indirectly, to any third-party, except as explicitly authorized by the school district.
    4. I agree that I will comply with the school district's policies on confidentiality and all applicable laws, including, but not limited to, the Family Educational Rights and Privacy Act.
    5. I agree that I will not remove any property, documents and/or materials of any kind from the premises of the school district unless authorized as part of my duties or with the express authorization of the school district.
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