HOPE COLLEGE
EDUCATION DEPARTMENT
STUDENT TEACHING APPLICATION |
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Last Name:
First Name:
Middle/Maiden:
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Anticipated Date of Graduation:
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Local Address:
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Phone #:
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Email Address: (Required)
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Student #:
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| A. |
Student Teaching Assignment
Requested: |
| 1. |
Year
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Spring
Fall |
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| 2. |
Elementary:
RANK IN ORDER OF PREFERENCE:
Kindergarten
Lower
Upper
Middle School |
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Special Education:
Elementary
Middle School
High School |
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Secondary:
Middle School
Sr. High
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K-12 (PE, Music, Visual Arts & Dance):
Middle School
Sr. High/Elementary |
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| B. |
Major 1
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Minor 1
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Major 2
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Minor 2
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| C. |
SECONDARY STUDENTS ONLY: Would you like a student teaching placement in your major only
(
Yes /
No) , or, if possible, in both your major and minor (
Yes /
No)? |
| D. |
Give evidence of a field placement that represents a culturally diverse or multicultural
(20% or more schoolwide) experience. |
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School
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Grade Level
Date of Placement
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| E. |
Professional Semester: Check when you will be taking the following courses: |
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Perspectives: |
Spring
Fall |
Year
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Senior Seminar: |
Spring
Fall
May/June/Summer |
Year
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NOTE: All special education majors take the 6-hour special education sequence
during the fall semester and complete Perspectives and Senior Seminar
in the spring semester. |
| F. |
Will you have transportation available?
Yes
No |
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| G. |
High School attended:
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| H. |
School preference:
RANK IN ORDER OF PREFERENCE:
Public
Private
Charter
No Preference |
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| I. |
Will you be participating in a music or sports program or any other organization or activity at Hope during your student teaching semester?
Yes
No
If yes, which program/activity:
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Will your participation in the above program/activity require you to be absent from your student teaching placement?
Yes
No
If yes, how many days will you be absent from the classroom?
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| J. |
Have you ever been convicted
of or pled no contest to a misdemeanor or felony?
Yes
No |
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Do you currently have any charges pending?
Yes
No |
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(If you answered yes to either question above, please make an appointment to see the Director of Certification if you have not already done so.) |
| K. |
Requests:
If you are interested in teaching in a particular geographical area, school, or with
a specific teacher, please identify below. Requests for off-campus placements must
be approved in advance by the department.
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| L. |
Comments:
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REMINDER: You will need to have your resume reviewed by a staff member in the Office of Career Services prior to submitting
it electroncially to the Education Department at studentteaching@hope.edu by the announced deadline next semester. |
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