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Program: DAY_____ WEC _____
Name __________________________________________ I.D.# ___________________ Date_________
Present Address ___________________________________________________ e-mail ______________
City, State, Zip _______________________________________________________________________
Home Phone __________________________ Work Phone _____________________________________
High School attended _______________________________ Location ____________________________
Elementary School _________________________________ Location ____________________________
Multicultural Education Program Yes_______ No _________ District_______________________
Middle School Specialty____________________________
I. REQUIREMENTS PREREQUISITE TO STUDENT TEACHING:
A. Acceptance into the Education Department Licensure Program
1. Have you been accepted in the Education Department? Yes______ No_____
2. Do you have a minimum 2.5 GPA in your major and Education courses? Yes_____ No_____
3. Do you have a minimum 2.5 GPA in your major? Yes _____ No _____
4. Do you have a minimum 2.5 cum GPA for all coursework? Yes_____ No_____
5. Are any of your required courses in Educ. or your major below 2.0? Yes _____ No _____
6. Have you passed all portions of the PPST? Yes _____ No _____
B. Completion of the prerequisite courses: (See list of courses later in this application)
1. Will you complete all your general education courses before student teaching? Yes __ No __
2. Will you complete all requirements for graduation by the term of your student teaching? Yes _ No __
II. List the Clinical/Fieldwork/Classroom Experiences already completed:
School District Grade Subject
___________________ __________________ __________ _________________
___________________ __________________ __________ _________________
___________________ __________________ __________ _________________
___________________ __________________ __________ _________________
___________________ __________________ __________ _________________
Please list any clinical coursework (providing the same information required above) you are taking this semester (or will complete before you plan to student teach:
____________________ ___________________ _________ __________________
NOTE: It is the studentÕs responsibility to inform the Director of Teacher Placement immediately if you fail to complete current coursework for any reason.
AUGSBURG STUDENT TEACHING - PLACEMENT DETAILS
Student teaching grade levels: Please indicate the grade level(s) at which you would like to student teach. Be aware that you must meet the state requirement for classroom experience at all grade levels of your licensure.
K ______ 1-5 ______ 6-8 ________
Starting Dates: Fall student teachers usually begin their assignment during Teacher Workshop Week, the last week of August for most districts. Winter/Spring student teachers begin student teaching the first week of Spring semester. For any other starting date you must petition the Student Teaching Committee. This request must be made in writing and addressed to the Student Teaching Committee. Do not attach such letter to this application, hand in separately to Barbara West.
PLACEMENT LOCATION: Because of intense competition for student teaching placements and BOT/NCATE regulations, we cannot offer you complete freedom in your choice of districts/schools for student teaching. For example, you may not student teach in the same school where your children attend, or where a family member is employed. Please be assured that we will work with you to find the best possible setting for you. Also, please understand that your request does not ensure automatic placement at that site. Occasionally, it is the professional role of the Education faculty to recommend a particular placement which would ideally match your specific strengths/needs with the long-established pool of seasoned, master cooperative teachers who consistently work with Augsburg in developing future teachers.
Please circle your placement preference: If your choice is suburban, indicate the direction from Augsburg, i.e., north, south, east or west. This will be a first ring suburb. Indicate a first or second choice.
Urban Suburban___________________________
Minneapolis North East
St. Paul South West
Do you intend to do part of your student teaching abroad ? Yes _____ No _____
Have you discussed your intention with the Education Dept. Chairperson ? Yes _____ No _____
Have you completed a written application for student teaching abroad ? Yes _____ No _____
Because student teaching is a full-time job in itself, the Augsburg College Teacher Education faculty discourages employment during student teaching. How will you comply with this expectation ?
IV. Student Teaching Registration
The required number of student teaching courses varies with individual requirements. Most elementary student teachers need 2 courses. If you register for 2 courses only, and are a DAY student, you will be considered a part-time student. Consult with your financial aid advisor to learn how this will affect the aid you receive. If you need to qualify for a full-time student, you can register for an additional course of student teaching. An additional course means you will student teach for 2 extra weeks. Your education faculty advisor will help you determine the correct number of courses required for your situation.
Courses in Student Teaching:
K-8 Licensure - EED 481 EED 483
This application CANNOT be accepted without your Education Department faculty advisorÕs signature and your signature. The Education Department advisorÕs signature below indicates that the advisor has reviewed this application with the student for student teaching prerequisites. It is the studentÕs responsibility to represent their coursework/program and grades accurately. The studentÕs signature indicates that all coursework and grades listed in this application are accurate and true.
___________________________________________ Date__________
Augsburg College Education Department Faculty Signature
___________________________________________ Date__________
Student Signature
AUTHORIZATION BY STUDENT FOR RELEASE OF TRANSCRIPT(S)
I, the undersigned, hereby authorize the Augsburg College Education Department Chairperson and/or field placement coordinator to forward a copy of my transcript(s) for all courses completed at Augsburg College and/or elsewhere to any school district which might require this record as a prerequisite for consideration of student teaching placement.
___________________________________________ Date__________
Student Signature
PLEASE NOTE: IMPORTANT INFORMATION !
„ The remaining parts of the application will be sent to the school district(s) where your placement is requested.
„ It will be seen by principals and teachers.
„ It represents YOU! This form is used to tell the principals/teachers about you. Fill it out in such a way that it describes who
you are and those experiences you have had which will make you a good student teacher.
„ Please see that it is thoughtfully filled out and word processed. Make sure that you copy each question and then provide
an answer, just as this form models. These pages will be carefully duplicated on white paper, so most corrections you
make will not how on the copies. The original will be kept in the Education Office.
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Who foster student learning by being knowledgeable in their fields,
Being capable in pedagogy, being ethical in practice, nurturing self-worth,
Embracing diversity, thinking reflectively and collaborating effectively.
Name _____________________________________________________ Date ___________________________
Local Address _______________________________________________________________________________
City, State, Zip_________________________________________________ Phone ________________________
Home address (if different from above)_____________________________________________________________
City, State, Zip_________________________________________________ Phone ________________________
Major _____________________________ Middle School Specialty ____________________________________
ELEMENTARY ED. COURSES REQUIRED Where/When Taken Grade_________
EDC 200 Orientation to Education ________________________________ ____________
EDC 210 Diversity in Education ________________________________ ____________
EDC 220 Educational Technology ________________________________ ____________
EDC 310 Learning & Development ________________________________ ____________
EDC 315 Critical Issues Seminar ________________________________ ____________
EED 310 K-8 Health/Phy. Ed ________________________________ ____________
EED 320 K-6 Reading Methods ________________________________ ____________
EED 330 Ch. Literature/Lang. Arts ________________________________ ____________
EED 340 K-8 Visual/Perf. Arts ________________________________ ____________
EED 350 K-6 Math Methods ________________________________ ____________
EED 360 K-6 Science Methods ________________________________ ____________
EED 370 K-6 Social Studies Methods ________________________________ ____________
EED 380 Kindergarten Methods ________________________________ ____________
EDC 410 Special Needs Learner ________________________________ ____________
EDC 480 School & Society ________________________________ ____________
ENG 111 Effective Writing ________________________________ ____________
HPE 115 Chemical Dependency ________________________________ ____________
INS 105 Intro American Ind. Studies ________________________________ ___________
OR INS 260 Contemporary American Ind. ________________________________ ___________
List education coursework, middle school specialty courses, and/or other coursework supportive of your teaching major.
WHERE/WHEN
COURSE NUMBER & TITLE TAKEN GRADE
______________________________ ____________________ ____________
______________________________ ____________________ ____________
______________________________ ____________________ ____________
______________________________ ____________________ ____________
______________________________ ____________________ ____________
______________________________ ____________________ ____________
______________________________ ____________________ ____________
______________________________ ____________________ ____________
______________________________ ____________________ ____________
______________________________ ____________________ ____________
______________________________ ____________________ ____________
______________________________ ____________________ ____________
______________________________ ____________________ ____________
______________________________ ____________________ ____________
______________________________ ____________________ ____________
______________________________ ____________________ ____________
______________________________ ____________________ ____________
______________________________ ____________________ ____________
Directions: Please word process your responses to the following questions. Type each question as it appears below, following each question with your response. Your responses should generate 2-3 pages; no more than 3 pages please! Remember that this is the only representation of yourself that is sent to the school where your placement is being requested. Let these represent you well!
Name: _________________________________________________ Date: _________________________
1. What goals and/or expectations have you established for your student teaching experience? Be specific and include:
„ Your skills and knowledge applicable to student teaching.
„ What you most want to learn from your student teaching experience;
„ Teaching techniques/methods you have had some experience with and would like to use during your student
teaching, e.g. cooperative learning, direct instruction, inquiry learning, concept learning, authentic
assessment, etc.
„ Teaching techniques/methods you are currently least skillful with and would like to develop further
during student teaching
2. Briefly describe experiences (paid/volunteer) you have had working directly with young people/children. Include previous field/classroom experience connected with teacher education coursework.
3. Briefly describe experiences you have had that may not have been working directly with young people/children, but you feel will contribute to your success as a teacher.
4. What have you learned from these experiences which will help you during student teaching ? (i.e., How will these experiences contribute to your success as a teacher?)