ECDC Observation Participation Request
Today's Date
(Required)
Month
Day
Year
Name
(Required)
First
Last
Length of time requested for each visit:
(Required)
Date(s) Requested:
(Required)
Phone
(Required)
Email
(Required)
Purpose of request
(Required)
To obtain general information about program
To complete a course assignment/requirement(s) (Please include course number and title below. Attach copy of assignment)
Please Attach Copy of Assignment
(Required)
Max. file size: 1 MB.
Course Title
(Required)
Course Number
(Required)
I am:
(Required)
e.g., CofC Professor (fill out and attach roster/assignment description and proposed schedule of visits), College of Charleston student, Non CofC Professor from (please include College name), Non CofC Student from (please include College name), Prospective parent, Visitor from another program, Other (please describe)
Focus of Visit
(Required)
e.g., Child development (list age group), Curriculum/assessment, Environment, Program Administration, Other (please describe)
Documentation of Completed Observations:
(Required)