| A | B | C | D | E | F | G | |
|---|---|---|---|---|---|---|---|
1 | Candidate Name: | ||||||
2 | Employee ID: | ||||||
3 | CACTUS ID: | Copy this info from your PLP in OneNote | LINK: Adding Clinical Experience Log to OneNote | ||||
4 | License Area/Endorsement: | ||||||
5 | PLP Completion Deadline: | ||||||
6 | APPEL Clinical Experience Log at least 21 hours by your PLP Completion Deadline above | ||||||
7 | Date | Teacher(s) Observed | School | Task or Partner | Observation Type | Hours | |
8 | Enter the Task Name for the Video OR Enter your Partner on the Observation | Peer Observation = 1 hour 3-4 Peer Observations = 3 hours | Things that Count for My Cohort | ||||
9 | Course I | Myself | 1.8 Explicitly Teach Procedures | Video for a Task | 0.5 | ||
10 | Course I | Myself | 1.10 Visible Learning | Video for a Task | 1 | ||
11 | Course I | Myself | 1.13 Modeling | Video for a Task | 0.5 | ||
12 | Course I | Myself | 2.15 Positively Reinforce and Correct Errors | Video for a Task | 0.5 | ||
13 | 3-4 Peer Observations | ||||||
14 | 3-4 Peer Observations | ||||||
15 | Course II | Myself | 6.7 Lesson Reflection | Analyze a Lesson Task | 1 | ||
16 | Course II | Myself | 6.9 Differentiated Lesson Reflection | Analyze a Lesson Task | 1 | ||
17 | Course II | Myself | 7.12 Lesson Reflection Form B | Analyze a Lesson Task | 1 | ||
18 | Course II | Myself | 7.13 Lesson Reflection Form B | Analyze a Lesson Task | 1 | ||
19 | Course II | Myself | 7.16 ONE 15 min video made up of three 5-minute sections | Video Analysis | 1 | ||
20 | 3-4 Peer Observations | ||||||
21 | Course III | Myself | Disciplinary Literacy | Video Analysis | 1 | ||
22 | Course V | Myself | TASK 2 - The Lesson - video whole lesson | Analyze a Lesson Task | 1 | ||
23 | Course V | Myself | TASK 2 - The Lesson - 15 min final video | Analyze a Lesson Task | 1 | ||
24 | 3-4 Peer Observations | ||||||
25 | |||||||
26 | |||||||
27 | |||||||
28 | TOTAL | 10.5 | |||||
29 | |||||||
30 | updated 09/05/2025 | ||||||