Student Teaching / Practicum / Internship Application Information
Required of All Student Teacher, Practicum (ECE & SPE), or Internship Applicants:
February 28
is Application Day
to student teach
or intern during
Spring 2013.
Please complete
online forms as
available and print
out. Turn in your
completed application
packet at 259 Cartwright
Center on
February 28
anytime between
9:30 a.m. and 1:30
p.m. You may also
turn in your
Hepatitis
B immunization record
with your application
packet.
Plan to
have your
TB test
between December
1-31, 2012,
and hand
deliver, mail, or
fax in
your results by
January 4, 2013,
to:
University of Wisconsin-La
Crosse
Office of Field
Experience
1725 State Street,145
Graff Main Hall
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 Spring 2013 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 ECE, 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 Early Childhood Fieldwork Experience |
| Application for Physical Education Fieldwork Experience |
| Application for Special Education Fieldwork Experience |
| Internship Application Application for Consideration for Special "Out of Area" Placements |
| The forms above are in PDF Format. You can download the Adobe Reader here. |
