MAIE 720-Application I- The Teacher in the Classroom Internship Request for Approval Form

MAIE 720-Application I The Teacher in the Classroom Internship Request for Approval Form

Internship Request Form
Name*

First NameLast Name
Student ID*
example@example.com
Student GPA*
Number of courses that the student has completed?*
Name of professor of MAIE 720*
Name of school where internship will be completed?*
Address of school where internship will be completed?*
Email of principal of school where internship will be completed?*
Name of principal at the school where student will complete internship?*
· Website of school where internship will be completed?*
Check only if student is currently employed at the school

Yes
What is the number of years the student has taught at the school? (Answer only if the student is employed at the school) *
Grade level of students that the student-teacher will be instructing?*
What are the subjects and course titles that the student will be teaching?*
By signing, student-teacher acknowledges that he/she understands that a daily journal must be kept of the students’ activities.*

Agree
By signing, the student agrees that upon completion of the internship, will present an oral presentation. The primary purpose of the oral presentations is to provide an overview of the subjects and teaching methods used during the Internship. Presentations are expected to be made in a professional manner. Presentations are to be 10-15 minutes in length and followed by a question and answer period. Some form of visual aid should be used in the presentation, preferably Power Point. Dress appropriately for your presentation. The oral presentation can follow the general structure of the Internship report. At least half of the presentation should focus on classes that were taught during the Internship.

Agree
By signing below, the student acknowledges that this internship is 40 hours a week.*
Student must print out this form and email to Lead MAIE professor and Chief Academic Administrator for signatures.
Lead MAIE Professor Signature

Clear
Chief Academic Administrator Signature

Clear
Should be Empty:

MAIE 720-Application I The Teacher in the Classroom Internship Request for Approval Form

Student must print out this form and email to Lead MAIE professor and Chief Academic Administrator for signatures.