Field Experience Placement Assignment Form
Completed by the Field Experience Coordinator after principal/central office approval
Processing Directions
Confirm the "Request to Place a Teacher Candidate" email went out
Airtable -> Placement Assignments -> Add Term
If no reply within 1 business day, resend said email and copy your personal @sau email account
If no reply within 1 more business day, resend email from your personal @sau email account
Continue sending daily emails until a response is received
Name of person completing this form:
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First Name
Last Name
In which program is this candidate enrolled?
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Undergraduate Education
MAT
What type of undergraduate placement will this be?
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Secondary Curriculum and Content Methods (EDUC 342)
Elementary Immersion
Secondary/K-12 Immersion Placement 1 (EDUC 346)
Secondary/K-12 Immersion Placement 2 (EDUC 346)
ESL Practicum (EDUC 476)
Student Teaching Placement 1
Student Teaching Placement 2
Other
What type of MAT placement will this be?
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Elementary Reading Methods (EMAT 556)
Content Methods for Secondary Education (EMAT 546)
Student Teaching Placement 1
Student Teaching Placement 2
Job-Embedded Clinical Practice
Candidate's First Name
*
Candidate's Last Name
*
Placement Start Date
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-
Month
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Day
Year
Date
Placement End Date
*
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Month
-
Day
Year
Date
Name of School
*
Principal's Name
*
Principal's Email
*
example@example.com
K-12 Mentor's First Name
*
K-12 Mentor's Last Name
*
K-12 Mentor's Email
*
example@example.com
Subject(s)
*
Grade Level(s)
*
Optional Comments:
To receive a copy of your responses, enter your email here:
example@example.com
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