Student Teaching Application Form – Spring 2014 Facebook Email Share Student Teaching Application - Spring 2014 Please fill out this form by February 7, 2014. Ms. Rhonda Harrison will be in touch with you shortly. Date* Name*FirstLastEmailCell Phone*Local Mailing Address*Street AddressAddress Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificStateZIP CodeLicensure Area*Early ChildhoodMiddle ChildhoodAdolescent Young AdultMulti-age Physical EducationMiddle Childhood Content Areas (Please select two)Language ArtsSocial StudiesMathematicsScienceAdolescent Young Adult Content AreaPlease indicate your content area.To the Council on Teacher EducationMy Obligation*Yes, I have read the description below and understand my obligationsI understand I must maintain all grade point average requirements for my licensure area. There is a record of all my field and clinical hours on file in the Education Department. I will be registered for ED 444(9 cr.) or ED 445 (6 cr.) (Graduate Students) and ED 405 (3 cr.) during the student teaching semester. I understand that if I plan to register for an additional class, I must attach a letter of intent, including my rationale for taking the course during the student teaching semester. I understand that I must have approval from the Council on Teacher Education before I may register for the extra course. I understand reading and agreeing with the statements above are a requirement to student teach and by checking the box I agree.Student Teaching SemesterFall 2014Spring 2015Please indicate the semester you will be Student Teaching.Additional Coursework beyond required hours.Please use this space to request permission to take additional coursework beyond the required hours.Letter of intent If you plan on taking an additional course while student teaching, please attach your letter of intent, including your rationale for taking the course. Approval from the Council on Teacher Education is needed before registering for the extra course.Electronic Signature*By typing your name in the box this is acts as your electronic signature.