Center for Urban Education

Special Education Program

Apprenticeship Experience
Student: Heather Rutherford

Assigned Mentor: Connie Brakken

Apprenticeship Assignment (Year One) Summit Elementary School, Aurora, CO

Apprenticeship Assignment (Year Two)_ Summit Elementary School, Aurora, CO
Apprenticeship Assignment (Year Three)_Summi Elementary School, Aurora, CO & Thunder Ridge Middle School
Apprenticeship Assignment (Year Four)_Summit Elementary School, Aurora, CO
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 Level

Year (1, 2, 3, 4)

Autism Spectrum Disorder

Elementary
Middle
High
1, 2, 3, 4
Hearing Impairment, including deafness
Elementary
Middle
High
Serious Emotional Disability
Elementary
Middle
High
1, 2, 3
Intellectual Disability
Elementary
Middle
High
1, 2, 3, 4
Multiple Disabilities
Elementary
Middle
High
2, 3, 4
Orthopedic Impairment
Elementary
Middle
High
Other Health Impairment
Elementary
Middle
High
Specific Learning Disability
Elementary
Middle
High
2, 3
Speech or Language Impairment
Elementary
Middle
High
1, 2, 3, 4
Traumatic Brain Injury
Elementary
Middle
High
1, 2
Visual Impairment, including blindness
Elementary
Middle
High
Deaf-blindness
Elementary
Middle
High
Preschooler with a Disability
*Setting Code: 1 = General Education with Support; 2 = Resource; 3 = Self-Contained; 4 = Other (please define)

This form will be revisited each year of your program.

Setting*
1&2
1, 2, 3
1, 2
1, 2
1, 2
1, 2
1, 2