Applicants to Student Teaching

Student teachers must complete one term in an elementary school and the other term in a middle school or high school. In order to assist with your own placement, please propose four options: two elementary schools, one middle school, and one high school.

Elementary School #1

School district: ___ School: ___

School district
School
Accreditation/Accrediting Body

School population (#): ___

School population

Principal: _____ Telephone: _____

Principal
Telephone

Principal's e-mail: ___

Principal’s e-mail

Elementary School #2

School
School district

School:

Accreditation/Accrediting Body: _____ School population (#): _____

Accreditation/Accrediting Body
School population

Principal: _____ Telephone: _____

Principal
Telephone

Principal's e-mail: ___

Principal’s e-mail

Middle School

School district: _____ School: _____

School district
School
Accreditation/Accrediting Body
School population

Accreditation/Accrediting Body:

School population (#):

Principal: _____

Principal

Telephone: _____

Telephone

Principal's e-mail: ___

Principal’s e-mail

High School

School district: _____ School: _____

School district
School
Accreditation/Accrediting Body
School population

Principal: _____ Telephone: _____

Principal
Telephone

Principal's e-mail: ___

Principal’s e-mail

Student Teacher Applicant's Statement: I verify that the information in this application is current and accurate.

Applicant's signature: _____ Date: _____

Applicant’s signature

Date: ___

Date

Revised Spring 2018