Clinical Practice Plan-Special Education

Certification Central’s program incorporates content on educating students with emotional disturbance (ED), learning disabilities (LD), intellectual disabilities (ID), and autism spectrum disorder (ASD). Additionally, you are being prepared to work with students in grades K through 12. Throughout your 700 hours of clinical practice, you will have to work with students: a) across all four disability categories, b) at the elementary level, and c) students at the middle/secondary level. This plan needs to be approved before advancing to SPED Module 2 Legal/Ethical Practice & Professional Learning.

Name *

First

Last

Email *

Phone *

Select a clinical practice pathway:

on-the-Job
Traditional

To work with students who have learning disabilities, indicate the following: 1) the school where you will complete clinical hours; 2) elementary, middle, or high school level; and 3) who will serve as your special education mentor. Please include the contact information for this mentor. *

To work with students who have an emotional disturbance, indicate the following: 1) the school where you will complete clinical hours; 2) elementary, middle, or high school level; and 3) who will serve as your special education mentor. Please include the contact information for this mentor.

To work with students who have intellectual disabilities, indicate the following: 1) the school where you will complete clinical hours; 2) elementary, middle, or high school level; and 3) who will serve as your special education mentor. Please include the contact information for this mentor.

To work with students who have an autism spectrum disorder, indicate the following: 1) the school where you will complete clinical hours; 2) elementary, middle, or high school level; and 3) who will serve as your special education mentor. Please include the contact information for this mentor.

Candidate Attestation *

I understand the clinical practice requirement is 700 hours.
I understand that I am required to attend a 1-hour monthly virtual coaching session in clinicals.
I confirm all information on this form is correct and will follow through with this plan.
I understand I needed to have submitted my official transcript(s) before moving onto SPED Module 2 and starting my clinicals.