Revised 8/2017

College of Education

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Teacher Education

Revised 8/2017

ED 439 Inclusive Classroom & ECE 425 Young Child with Special Needs

HUMAN RELATIONS REPORT FORM

L - ______

Please choose one:

_____ ED 439 Inclusive Classroom

_____ ECE 425 Young Child with Special Needs (for Birth to Grade 3 candidates & an option for K-6 candidates)

Name of Student: / Date:
For Transfer Students
Higher Education Institution: / Course Number/Title:

Check professional program:

Public Teacher / Lutheran Classroom Teacher
Human Relations Experience:
Ages of Participants:
Location: City, State Zip
Date began: / Date ended: / Total Number of Hours:

Note: An Activity is an experience in which the student works with other people in a teaching, directive, or other helping capacity. Observation alone does not constitute an activity. With preapproval from the instructor, experiences may be completed up to two semesters prior to enrolling for the course.

In a separate report, please include the following and attach your written narrative to this verification page:

  • Describe the activity, participants, and setting (one paragraph).
  • Describe the effectthis activity had on your behavior with respect to human relations knowledge and/or skills directly related to students who have special needs (one paragraph).
  • Reflect on and write a response using the following prompts. LABEL each response with the letters

A, B, C, D.

  1. Describe an increase in your understanding of contributions and lifestyles of the various racial, cultural, and socioeconomic groups, specifically learners with special needs.
  2. Explain how you now recognize and address dehumanizing biases, discrimination, and prejudice toward students with special needs.
  3. Describe and analyze how this experience will improve your ability to create learning environments which contribute to the self-esteem of students with special needs and build positive interpersonal relationships.
  4. Describe how this experience will increase your respect for diversity and individual rights.

*Please see verification on page 2.

Field Experience for Human Relations Hours

The 15 hours each of four experiences to meet the human relations requirement for teacher licensuremust be completed prior tostudent teaching, totaling 60 hours.

The hours are divided among four classes with15 hours assigned to eachand are focused on specific target populations:

  • ED 330: Human Relations and Diversity – diverse ethnic and cultural groups
  • ED 201/202:Introduction to and Foundations of Education/Critical Dispositions for Teachers - diverse socio-economic groups
  • ED 439: Inclusive Classroom(ECE 425 or ED 380 may be substituted) - diverse learning needs/disabilities
  • ED 487: Reading Across the Content, or ECE 324:Lang Development & Emergent Literacy – English language learners

Guidelines:

  • The appropriate report form must be used for each experience.
  • The experience must be done with learners, Birth through Grade 12.
  • The experience should be done with the age group for which licensure is sought.
  • The 60 hours must be completed in two or more settings.
  • The reflective prompts on the report must explain in detail how the experience impacted your

knowledge, skills, and disposition.

Transfer Students: Candidates who are transferring to Concordia University to complete licensure and who have already completed equivalent courses at a previous higher education institution, must still complete a report for each course and have the report approved by an instructor of the Concordia University course.

Revised 8/2017