School of Education, Health and Human Behavior

STUDENT TEACHING
FIELD EXPERIENCES APPLICATION

Applications are due in School of Education, Health and Human Behavior Student Services Office (1st floor, Founders Hall, Room 1110) by
Friday, September 5th, 2014


A. Please select your program of study below:







1. General Information


2. Will you be living on campus?



3. If yes, list campus address if different from above address:

4. School attended (include city and state). Do not list previous placements, but the school you attended.

5. Secondary Education students - Will you have the middle school endorsement courses completed by the end of your student teaching semester?




6. CONFLICT OF INTEREST: Candidates are placed in schools for field experiences and student teaching within a 40 mile radius of the University; however, candidates may not be placed in schools in which they have a potential conflict of interest.  Conflicts to be avoided are schools in which the candidate has attended, has relatives employed or attending or has any other potential conflicts that may impact his or her placement at the school.  Please list any schools within a 40 mile radius of SIUE in which you may have a potential conflict of interest and the type of conflict. 

7. HARDSHIPS: Please list any schools/districts/areas within a 40 mile radius of SIUE that would pose a hardship and the type of hardship.  Hardships might be driving distance from your home, schools that do not have special accommodations to meet your needs, distance from daycare, etc.  School of Education, Health and Human Behavior Student Services Office cannot guarantee you will not be placed in any schools listed but we will work to best accommodate your needs within the program parameters in seeking a field placement.  Please take notice that SOEHHB Student Services Office will not make changes after placements are established. 



Verification of Eligibility

    Yes No
8.1 I believe that my advisor can verify my eligibility.
8.2 I understand that I cannot student teach at a school from which I have graduated or one in which a relative is currently employed or attending. It is my responsibility to let School of Education, Health and Human Behavior Student Services Office know if a placement is made in which this would occur.
8.3 I understand that I must have completed all general education, major and minor requirements prior to student teaching or have the approval of my School of Education, Health and Human Behavior Student Services Office advisor.
8.4 I understand that if for any reason I withdraw from the program, a new student teaching application must be submitted and an updated signature from my advisor must be provided to School of Education, Health and Human Behavior Student Services Office by the posted deadline for any future semester.
8.5 Submission of the application packet by the posted deadline and passing scores on the appropriate content area test are required before a student is registered for student teaching. Passing scores on the APT is required for certification (required for graduation for Special Education majors)
8.6 I understand that I will be withdrawn if, for any reason my overall GPA is below the required 2.5/4.0 or I receive lower than a C in my professional education courses.
8.7 I understand that I must apply for graduation in the Admissions and Records office, after earning 90 semester hours, by the posted deadline (if receiving a degree). It is my responsibility to verify that my General Education requirements have been met.
8.8 I understand that I must notify both School of Education, Health and Human Behavior Student Services Office and the Service Center of any name, address, or telephone changes.
8.9 I understand that I am required by state law to have a negative mantoux TB test not more than 90 days prior to the first day of student teaching (After October 16th, 2013).  If I am an early childhood major, I must take the two step TB test. Failure to fulfill this requirement will result in the cancellation of my student teaching placement.
8.10 I understand that I need a minimum of 100 documented clock hours of clinical experience in classrooms All final observation sheets must be turned in to School of Education, Health and Human Behavior Student Services Office by the start of the student teaching semester, with the exception of secondary education, which has the first 4 weeks of student teaching to acquire the 100 clock hours.


9.
By submitting this application, I give consent for SIUE to share any educational records, background check information, drug screening information, and edTPA information with school partners.


DRUG SCREENING/TB TESTS/BACKGROUND CHECKS: Some districts require all candidates to be screened for illegal drugs before being placed in classrooms for observations or student teaching. The drug screening can be obtained in the local area. The drug screening process must be complete prior to placement within classrooms. Students are responsible for the cost of the drug screening. You will be notified if the district in which you are placed requires a drug screening. Some districts also require additional TB tests and/or background checks. You will be notified if the district in which you are placed requires an additional TB test or background check.

edTPA

The edTPA is an Illinois teaching licensure requirement for all teacher candidates who graduate after September 1, 2015. As part of the edTPA, the teacher candidate must video his/her teaching performance and the impact this instruction has on student learning. Students’ images and their voices must be recorded and student work samples scanned as evidence that learning occurred. The handling and use of the recordings and the student work samples must be done in such a manner that students and their work remain confidential throughout the process.

Following are your responsibilities in this process:

I will use any student work samples, any audio recordings and/or any video recordings for the sole purpose of the preparation and submission for the edTPA assessment as directed by my instructors at SIUE. I will not use these work samples or recordings for any other purpose.

I will do whatever is reasonable to protect the confidentially of any student work samples, and audio recordings and/or any video recordings of the students that I collect as part of my field experience or student teaching experience. I will only use first names of the students and will avoid using the name of the school and/or district when identifying student work samples or making recordings.

I understand that any scanned student work samples, any audio recordings and any video recordings will ONLY be uploaded to secure servers at SIUE for the purpose of evaluating my teaching knowledge, skills, and dispositions. Also, I will promptly delete any and all of these student work sample images, audio recordings, and/or video recordings from any devices other than the secure servers at SIUE; this deletion will occur absolutely no later than 24 hours after the end of the semester in which the images or recordings were made.
 

Any questions regarding your placement may be directed to Lindsey Loyd at 650-2469 or e-mail linloyd@siue.edu

 


                
http://www.siue.edu/education