APPLICATION FOR STUDENT TEACHING - SECONDARY

Program: DAY_____ WEC _____

Name __________________________________________ I.D.# ___________________ Date_________

Present Address ____________________________________________ e-mail _____________________

City, State, Zip _______________________________________________________________________

Home Phone __________________________ Work Phone __________________________

Licensure goal: _______________________________ Grade Level: 5-12____ 9-12____ K-12____

B.A. Degree:_________________________________

High School attended _______________________________ Location ____________________________

Elementary School _________________________________ Location ____________________________

Multicultural Education Program Yes________ No _________ District____________________________

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. Have you completed your general education courses? Yes _____ No _____

2. Will you complete all requirements for graduation by end of this term? 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 student’s responsibility to inform the Director of Teacher Placement immediately if you fail to complete current coursework for any reason.

AUGSBURG STUDENT TEACHING - PLACEMENT DETAILS

III. 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

Student Teaching Abroad

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 _____

Student Teaching and Working

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 ?

AUGSBURG STUDENT TEACHING - SIGNATURE PAGE & MISC. INFO.

IV. Student Teaching Registration

The required number of student teaching courses varies with individual requirements. Most Secondary student teachers need 2 courses; some K-12 licensure candidates need 3; double majors need 4. 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 as 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:

5-12 Licensure - ESE 481 ESE 483

K-12 Licensure - EED 481 EED 483 ESE 485 ESE 487

Education Advisor: Please circle the courses above that are needed.

This application CANNOT be accepted without your Education Department faculty advisor’s signature and your signature. The Education Department advisor’s signature below indicates that the advisor has reviewed this application with the student for student teaching prerequisites. It is the student’s responsibility to represent their coursework/program and grades accurately. The student’s 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.

The Augsburg Education Department commits itself to developing future educational leaders

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.

STUDENT TEACHER EDUCATIONAL BACKGROUND

Name _____________________________________________________ Date ___________________________

Local Address _______________________________________________________________________________

City, State, Zip_________________________________________________ Phone ________________________

Home address (if different from above)_____________________________________________________________

City, State, Zip_________________________________________________ Phone ________________________

Major _______________________________________

SECONDARY ED. COURSES REQUIRED Where/When Taken Grade_________

1. EDC 200 Orientation to Education ________________________________ ____________

2. EDC 210 Diversity in Education ________________________________ ____________

3. EDC 220 Educational Technology ________________________________ ____________

4. EDC 310 Learning & Development ________________________________ ____________

5. EDC 315 Critical Issues Seminar ________________________________ ____________

6. ESE 300 Reading/Writing in Content ________________________________ ____________

7. ESE 325 Creating Learning Environment ________________________________ ____________

8. ESE 3XX 5-12 Special Methods ________________________________ ____________

9. EDC 410 Special Needs Learner ________________________________ ____________

10. EDC 480 School & Society ________________________________ ____________

11. ENG 111 Effective Writing ________________________________ ____________

12. HPE 115 Chemical Dependency ________________________________ ____________

13. INS 105 Intro American Ind. Studies ________________________________ ____________

INS 260 Contemporary American Ind. ________________________________ ____________

AUGSBURG COLLEGE – STUDENT TEACHER MAJOR PROGRAM COURSES

List all coursework supporting your Major and Minor:

WHERE/WHEN

COURSE NUMBER & TITLE TAKEN GRADE

______________________________ ____________________ ____________

______________________________ _____________________ ____________

______________________________ ____________________ ____________

______________________________ _____________________ ____________

______________________________ ____________________ ____________

______________________________ _____________________ ____________

______________________________ ____________________ ____________

Augsburg College - Student Teacher Biographical Essays

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?)

Augsburg College Education Department

Department Clearance and Recommendation for Student Teaching

Student Name:_______________________________________ ID#___________________________________

Major:_____________________________________________________________________________________

The above person has been considered by his/her major department or by a delegated committee representing the department. We have considered this applicant’s academic record and have attempted to bring together evaluations of department members as to the applicant’s personal qualities appropriate for secondary school teaching. (The applicant’s file is available in the Education Department office)

The following is our response:

_____ The department confirms that this student has successfully completed all courses required for the major.

_____ The department recommends the candidate’s acceptance for student teaching.

_____ The department recommends the candidate’s acceptance on probation.

(Reasons or conditions should be listed below or on the back of this page)

_____ The department withholds its recommendation.

(Reasons should be listed below or on the back of this page)

_________________________________________ ______________

Faculty signature Date

Comments:

Please return form to the Augsburg College Education Department – Campus Box #312