Student Teaching / Practicum / Internship Application Information

Required of All Student Teacher, Practicum (ECE & SPE), or Internship Applicants:

November 12, 2013 is Application Day to student teach or intern during Fall 2014. Please complete online forms as available and print out. Turn in your completed application packet at 259 Cartwright Center on November 12 anytime between 12:00 and 4:00 p.m. You may also turn in your Hepatitis B immunization record with your application packet. Plan to have your TB test in July 2014, and hand deliver, mail, or fax in your results by July 31, 2014 to:

University of Wisconsin-La Crosse
Office of Field Experience
145 Graff Main Hall
1725 State St.
La Crosse, WI 54601

Fax# (608) 785-8926

You will receive directions for the online criminal background check (CBC) procedure at the Information Day session. The CBC will cost anywhere from $24 to $45, depending on individual circumstances. Also read the Responsibilities of Student Teachers/Interns.

Please read the Policies, as they provide much information about student teaching and interning.

Keep a copy of the Student Teaching Important Dates for Fall 2014 in your files.

The one-page Checklist below is turned in as the cover sheet for your application packet. Use the Checklist as a guide to determine what forms you need to complete. Copies of these forms and other School of Education forms are available in the forms section.

Required For All Student Teachers & Interns

Checklist: Student Teaching/Practicum/Internship Experiences

Student Teaching/Practicum/Internship Agreement

Consent for Release of Information

Student Teaching Application (see additional application forms for PE, SPE, and Internship below)

Request for Tuberculosis (PPD) Skin Test and Hepatitis B Immunization Documentation

Questionnaire for Admission to Student Teaching, Internships, or Other Practicum Programs

Student Teaching Criminal Background Release Form

Student Teaching/Internship Credit Check Form


Additional Applications Required by Program Area or for Internship
Application for Physical Education Fieldwork Experience
Application for Special Education Fieldwork Experience
Internship Application
Institute for Urban Education Student Teacher Application
(Only for Elementary Majors and Secondary Math and Science Majors)
The forms above are in PDF Format. You can download the Adobe Reader here.