SOMO Athlete Leadership Practicum form

SOMO Athlete Leadership Practicum Form

Please fill out this form to receive credit for your class. Please make sure your mentor knows that you are submitting this. Your instructor will email you if you completed the homework correctly. If you do not hear from your instructor, feel free to email them directly. You will fill out one of these forms for EACH of the classes you're submitting homework for. For example: If you need to submit homework for three classes, you'll fill out this out and submit it three times.
Athlete-Leader Name *

First Name Last Name
Athlete-Leader E-mail *
Athlete-Leader Phone Number *

Area Code Phone Number
Mentor Name *

First Name Last Name
Mentor Email *
example@example.com
Mentor Phone Number *

Area Code Phone Number
Date you took the class *

Month Day Year
Date
What class are you submitting for? *
What did you do to complete your practicum? Be as detailed as possible. Include dates and hours and contacts made if applicable. *
What are some things you learned from this class and what you learned from working on this practicum? *
What do you still need from SOMO to be a better leader? *
How can we improve Athlete Leadership? *
If you need to upload photos or other documents as part of your practicum, please do so here.

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SOMO Athlete Leadership Practicum Form