Placement Information Form
Completed by the Teacher Candidate at the Beginning of Each Placement
Processing Directions
Airtable -> TEP Current -> Placements -> Process New Forms
Link Full Name, SAU Faculty, K-12 Mentor, and Placement Year/Term
in ELC, link candidate to site and K-12 mentor
Name
First Name
Last Name
Email
example@example.com
Which degree type are you pursuing?
*
Bachelor's Degree
Master's Degree
No Degree
What is the course number and name of the undergraduate course that requires this placement?
*
EDUC 233 Children's Literature
EDUC 238 K-8 Bible Methods
EDUC 243 Fundamentals of Elementary Literacy
EDUC 253 Responsive Teaching
EDUC 298 Teaching Writing in 6th-12th Education
EDUC 302 ESL Strategies and Methods
EDUC 305 Primary Literacy
EDUC 324/327/339/454/457 Elementary Immersion
EDUC 342 Secondary Curriculum and Content Methods Secondary
EDUC 346 Secondary Immersion
EDUC 448 Response to Intervention
EDUC 476 ESL Practicum
EDUC 480 Student Teaching Placement 1
EDUC 480 Student Teaching Placement 2
Music Education Course
PE/Health Education Course
Other
What is the course number and name of the graduate-level course that requires this placement?
*
EMAT 505 Foundations of Education
EMAT 524/554 Elementary Math Methods
EMAT 525/555 Elementary Language Arts Methods
EMAT 526/556 Elementary Reading Methods
EMAT 527/557 Elementary Science & Health Methods
EMAT 528/558 Elementary Social Studies Methods
EMAT 546 Content Methods for Secondary
EMAT 612 MAT Student Teaching and Seminar
EMAT 624/625 Job-Embedded Clinical Experience and Seminar
Other
In which school system will this placement occur?
*
Hamilton County
SDA
Other
The START date for this placement is:
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
The END date for this placement is:
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
The name of the K-12 school I am placed in is:
*
Is this school in Tennessee?
*
Yes
No
In which state is this school?
*
My SAU faculty instructor for this placement is (type his/her name):
*
The K-12 Teacher(s) I am placed with is/are (type their names; If you don't know, type "I don't know):
*
The subject(s) I am teaching/observing is/are:
*
The grade level(s) I am teaching/observing is/are:
*
The grade level(s) I am teaching/observing fall(s) into the following grade band(s):
*
K-2
3-5
6-8
9-12
If there is anything you would like to share about this placement, please do so here:
Submit
Should be Empty: