Liaison

Liaison Forms

• University Liaison Observation of Intern
• Cluster Reports 
• Mileage Worksheet 
• W-9

 “University Liaison Observation of the Intern” hard copy forms in triplicate will be provided at Liaison Orientation for the fall.  Forms for spring observations will be provided to liaisons at time fall files are turned into the ACP Office.  Additional copies may be printed off the ACP website and copies made if needed.
The Liaison is assigned by the ACP office.  Liaison will contact Intern during the first half of September to make arrangements for first visit.  Intern will email “Plan for Learning” and other requested materials in advance of visit. 
University Liaison must complete the 3-page “University Liaison Observation of the Intern” form while observing.  Each form must list date and time of the observation and both liaison and intern must sign.
University Liaison is required to observe the Intern three times each semester and should plan to observe the Intern during the following dates: 

• September 28 - October 4
• October 26 - November 1
• November 30 – December 6
• February 1-7
• March 22-28
• April 26 – May 2

See “Color Coded Calendars" for exact due dates. 
Reflection Forms should be emailed weekly to Liaison.
Lesson Plan for Learning should be emailed to Liaison one week prior to each visit.

Completed “Intern Observation of the Mentor Teacher” form will be given to Liaison on each visit.

Completed “Mentor Teacher Observation of the Intern” form will be given to Liaison on each visit.  (It is intern’s responsibility to turn this in.)

Liaison will complete a “Cluster Report” using the information from the completed “University Liaison Observation” form, the “Plan for Learning” form completed by the student and any other observations or communications.  This form is designed to be completed electronically after your visit.  Email a copy at the end of the fall and spring semesters to maya.edwards@tamut.edu.   Also, print a hard copy for your file.
Complete “Mileage Worksheet” for all travel.  Email completed form to debbie.hopkins@tamut.edu after last visit each semester.

If you have not recently completed a W-9 for Texas A&M University-Texarkana, please click here for printable W-9.  This is required for processing your salary and mileage reimbursement.  If in doubt, please complete another one.  Return completed form to ACP Office or fax directly to Accounts Payable – 903-223-3118.