UNDERGRADUATE
Student Teacher Application
College of Education, Office of Field Services
Select Semester/Year:
Select Placement Area:
___ Fall 20_____
___ Spr 20_____
___ Mobile ___ Saraland City ___ Out of Area
___ Baldwin ___ Satsuma City
(See OFS for Policy)
JAG #: J00___________________ Social Security #: ___________________ Date of Birth: ___________
Applicant Name: _______________________________, _________________________ ________________
Last
First
Middle
PHOTO
REQUIRED
If not already taken
by OFS
Local Address – This address is used to determine school placements only and does not affect your address with the University
_________________________________________________________ ____________________________ ______ ______________
Street Address
City
State
Zip Code
Home Phone (____)____________ Cell Phone (____)____________ Email Address: ____________@jagmail.southalabama.edu
(*ONLY USA email address will be used for OFS communications)
SELECT MAJOR:
___ K-6 Teacher Education (Elementary/SPE)
___ 6-12 English/LA
___ 6-12 Gen Science/Biology/Chemistry/Physics
___ 6-12 Health
___ 6-12 Mathematics
___ 6-12 Social Studies
___ 6-12 Special Ed Collaborative:
___ English/LA
___ General Science
___ Mathematics ___ Social Studies
___ P-12 Music-Choral
___ P-12 Music-Instrumental
___ P-12 Physical Education
If you have any children/relatives in a local school district, please complete the following:
School District: ___ Baldwin ___ Mobile ___ Saraland ___ Satsuma
School Name(s) & Grade(s): __________________________________________________________________________
COMMENTS:______________________________________________________________________________________________
___________________________________________________________________________________________________________
LIST ALL PREVIOUS FIELD EXPERIENCE:
Placement Type
(i.e., Tier 2, Tier 3, Methods)
Semester/
Year
School
Grade/
Subject
Cooperating
Teacher
University
Supervisor
Note: Please attach a degree evaluation for your advisor.
__________________________________
Student’s Signature
2/26/15
____________
Date
_______________________________________
Advisor’s Signature for Recommendation
___________
Date
STUDENT NAME_____________________________________________
JAG# J00_________________________________
**PLEASE READ THE FOLLOWING AND SIGN**
Internship Applications must be filed with the Office of Field Services at least one semester in advance of the planned
internship. LATE APPLICATIONS MAY RESULT IN DELAYED INTERSHIP.
•
Fall Semester student teaching deadline to turn in application is February 28th.
•
Spring Semester student teaching deadline to turn in application is September 30th.
~LIST OF REQUIREMENTS THAT MUST BE COMPLETED BEFORE INTERNSHIP~
REQUIREMENTS FOR ALL TEACHER CERTIFICATION
(For complete text of policy, reference current USA Bulletin)
1.
Admission to Teacher Candidacy and senior standing
2.
Achieved passing score on APTT/AECTP and required Praxis II tests.
3.
Verification of clear background check
4.
Proof of current Professional Liability Insurance. It may be necessary for you to provide a copy of your liability insurance
receipt as proof of coverage.
5.
Digital photo (if not already taken by OFS)
6.
Completion of required methods, Tier or block courses for this field
7.
Minimum USA (overall) GPA of 2.50
8.
Minimum Program GPA of 2.75
9.
Minimum Professional Studies GPA of 2.75
10
Completion of a minimum of ¾ of Teaching Specialization(s) with a minimum GPA of 2.75
11.
Continued satisfactory progress in meeting requirements for admission to the program of teacher education
12.
Recommended for student teaching by faculty advisor. Advisor’s signature on application is required.
13.
Internship Course Registration. Completing this application does not register you for your internship course.
14.
Completion of any departmental prerequisites. Department/program may have additional admission requirements. See
departmental section of the USA Bulletin.
*Student teaching is considered a full-time experience and no student is
expected to have employment, campus duties, or other hindrances that tend to
interfere with the responsibilities which regular teachers are expected to
assume. I, the undersigned student, hereby attest that I understand the above
policies and requirements as set forth and that the information supplied in this
application is accurate and current to date.
__________________________________________________
Student’s Signature
2/26/15
RETURN COMPLETED FORM TO:
University of South Alabama, College of
Education Office of Field Services, UCOM 3604
75 N University Blvd, Mobile, AL 36688
Phone: 251-380-2739 Fax: 251-380-2728
______________
Date
STUDENT NAME_____________________________________________
JAG# J00_________________________________
POLICY REGARDING OFF-CAMPUS
STUDENT TEACHING ASSIGNMENTS
Student teaching is one of the most important experiences and is generally regarded as the culminating activity in
one’s training to become a teacher. The College of Education recognizes its responsibility to identify, coordinate, and
provide student teachers access to support services within the College and the University; offer continuing
professional development experiences in conjunction with student teaching, such as student teaching seminars and
conferences with College faculty and staff; and assist student teachers in dealing with specific difficulties or
deficiencies. Further, because of good rapport with local schools and school systems, supportive administrative and
teaching staffs, compatibility of philosophy of training programs, and access to local district resources and support
services, the positive framework for quality training experiences is enhanced.
The College of Education has neither the personnel nor financial resources to adequately qualify, coordinate, evaluate,
and supervise student teaching assignment in locations outside the Mobile area. Therefore, the following policy will
govern student teaching placements.
All student teaching placements and non-traditional fifth year teaching field internships will be coordinated by the
Office of Field Services. Placement sites and cooperating teachers will be selected by academic departments in such a
manner as to assure the quality of the student teaching experience and supervision provided by the cooperating
teacher. All student teaching placements will be made in the greater Mobile area in order to facilitate the supervision
of the student by University of South Alabama faculty or other personnel so designated by the Departmental
Chairperson in which that student is enrolled. In the rare circumstance of student teaching outside the greater Mobile
area, approval must be granted by the Director of Field Services, Program Faculty, and/or the Departmental
Chairperson. In those cases, the candidate is responsible for following the out of area or out of state placement policy.
__________________________________________________
Student’s Signature
2/26/15
______________
Date