Center for Urban Education Special Education Program Apprenticeship Experience Student Daphnie Peterson Assigned Mentor

Apprenticeship Assignment (Year One)_ Eaglecrest High School Apprenticeship Assignment (Year Two)_ Eaglecrest High School Apprenticeship Assignment (Year Three)_ Red Hawk Ridge Elementary Apprenticeship Assignment (Year Fo r)___Red Hawk Ridge Elementary _________________________________________________________________________________ You may list additional Apprenticeship Assignments (e.g., Extended School Year) on the back of this form.

This form must be turned in at the end of each year. Please include a copy of this form in your portfolio. Colorado Disability Categories Grade e!el "ear #$% &% '% () Setting*
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This )orm will *e re7isited each year o) yo r program8