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Field Experience Placement Request Form: 20172018 16 Month Students 49234933 March 6April 27, April 30June 1,2018Name: (Please print) Contact address while at Acadia: Contact address while on practicum:
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16 month students 4923-4933 are students enrolled in a specific educational program that lasts for 16 months.
The educational institution or organization offering the 16 month program is required to file 16 month students 4923-4933.
To fill out 16 month students 4923-4933, the educational institution needs to provide detailed information about each student enrolled in the 16 month program.
The purpose of 16 month students 4923-4933 is to track and report the progress and outcomes of students in the specific 16 month educational program.
The information that must be reported on 16 month students 4923-4933 includes student demographics, enrollment status, academic performance, and completion status.
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