Forms and Documents

Cooperating Teacher Materials

For Cooperating Teachers only:
Academic Support Services Agreement
Cooperating Teacher Request for a Clinical Field Experience Student

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

Other Forms

Graduate Assistant Application
The above application is to be used for School Psychology and Student Academic Affairs. Please contact the Program Directors for more information and the application process. 
      School Psychology - Rob Dixon, Ph.D.
      Student Academic Affairs (SAA)  - Jodie Rindt, Ph.D.