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Student Teacher Placement Application – Strands 2 and 3

2009 – 2010 School Year

This information will be used to make the best possible match between you, your school and your school supervisor. We welcome your candor for there are no right or wrong answers. This application will be shared with MAT faculty and school personnel.
Name:
Undergraduate Major:
Degree(s) (BA, BS, MS, etc.) and Institutions:
Current Address:
Current Phone:
Summer Address (if different):
Summer Phone:
Email:
Strand:
1. Please indicate where you will be living while attending Willamette
Salem
Portland
Corvallis
Don't Know
Other
If "Other", specify where.
2. Will you have a car?
Yes
No
3. We make placements in four districts. Please select your choices or check "doesn't matter"
Doesn't Matter
If any of your choices are "other", list your desired placement district(s):
4. Have you had any experience with a school(s) in one of the districts in which we work? If so, which ones:
5. Indicate at what level you would like to do your student teaching:
Early Childhood
Elementary
Middle School
High School
6. Indicate at what level you would like to do an additional practicum experience for a second level of authorization:
Early Childhood
Elementary
Middle School
High School
7. If you chose Middle School or High School, what subject(s) (no more than 2) do you intend to teach? (you must have a minor, major, or have passed the appropriate level praxis test in the subject(s) you want to teach)

Background

1. Assess your experience with the following:
Classroom Management:
Assessment:
Planning:
Instruction:
2. Briefly describe your relevant work/volunteer experience with children.
3. Briefly describe areas of special interest and expertise in your teaching field(s).

Student Teaching

4. What are your expectations of student teaching?
5. Describe the type of classroom setting where you feel you will be the most successful as a student teacher.
6. What do you expect from your supervising teacher?

Personal Interests

7. What hobbies, interests, free-time activities do you enjoy?

Résumé

8. Please email your résumé to Heather Daniels (hdaniels@willamette.edu).

Check box if you agree to have this information shared with area school districts for placement purposes.
Agree

If you have any questions, please contact the School of Education Admissions Director, Heather Daniels: hdaniels@willamette.edu or 503-375-5453.

After you 'Submit Online' below, please mail your criminal background statement(PDF) to:

Heather Daniels
School of Education
Willamette University
900 State Street
Salem, Oregon
97301