‘Houston Baptist University College of Education Educational Diagnostician Practicum Agreement {understand that 1am partiating iy a pratigum spenspred by he College of Education at Houston Baptist University and the. Uston Tndaperdet School District. I recognize that uring the practicum, I am subject to the rules, regulations, and policies of the university as well as those of the school district and campus. Tunderstand that during the practicum, I will be representing the university and the department and I will rot exhibit any behaviors that would adversely affect the image of either unit. l agree that if my behavior is deemed improper or detrimental to the schoo! district, campus, or the university, I will withdraw from the program and not receive credit. I understand that failure to abide by the required guidelines of the internship program will result in termination. I further agree that I will: (a) avoid becoming involved in ideological disputes; (b) maintain the confidentiality of records and internal matters at all times; (c) not be in possession of or use an illegal controlled substance, aleohol, or firearm while on school or university property; and (d) always dress professionally in accordance with school district policies. Thave read this agreement. The nature, scope, and required guidelines of the educational diagnostician practicum have been explained to me, and I agree to abide by them. Candidate: sme __Wetly “Thus be os Signature: Key Rf J University Supervisor: Name: YY \2 ee(\ (print) Signature: EDSP 6315 Practicum in Diagnosis Syllabus Spring 2015 Page 42 of 45