Forms and Documents

Cooperating Teacher Materials

For Cooperating Teachers only:

Academic Support Services Agreement

Cooperating Teacher Request for a Clinical Field Experience Student

Cooperating Teacher Request for a Student Teacher

Field Experience and Student Teaching Evaluation Materials

Overview and Forms for Students, Cooperating Teachers, and University Supervisors

Student Teaching and Internship Application Materials

Please visit the Office of Field Experience for more information on these forms:

Required for all Student Teachers and Interns
Checklist: Student Teaching/Practicum/Internship Experiences Student Teaching/Practicum/Internship Agreement Consent for Release of Information
Application for Student Teaching or Practicum Experiences (see additional application forms below) Documentation of Tuberculosis (PPD) Skin Test and Hepatitis B Immunization
Questionnaire for Admission to Student Teaching, Practicum, Internship, and Clinical Field Experiences
Criminal Background Check Release Form
Student Teaching/Practicum/Internship Credit Check Form

Additional Applications Required by Program Area or for Internships

Application for Physical Education Fieldwork Experience
Application for Special Education Fieldwork Experience
Internship Application
For those requesting alternative placements, the process is to
Arrange an appointment with the Director of Field Experience. Options include: Institute for Urban Education Student Teacher Application Educators Abroad Hardship "Out of Area" requests (only available through the Director)

Student Clinical Field Experience Forms

Required for all students in a Clinical Field Experience
Field Experience Information
Field Experience Memo of Understanding
Questionnaire for Admission to Student Teaching, Internships, or Clinical Experience
Criminal Background Check Release Form Field Experience Sign-In Sheet

Other Forms

Graduate Assistant Application
The above application is to be used for Special Education; Graduate Reading, Early Childhood, and ME-PD on Campus; School Psychology; and Student Academic Affairs. Please contact the Program Directors for more information and the application process.
      Special Education - Carol Angell, Ph.D.
      Graduate Reading, Early Childhood, and ME-PD on Campus - Gary Willhite, Ph.D.
      School Psychology - Rob Dixon, Ph.D.
      Student Academic Affairs (SAA) - Jodie Rindt, Ph.D.