PLACEMENT REQUEST FOR STUDENT TEACHING
Name:
Semester:
Year:
Local Address:
Local Phone:
Other Phone:
Email:
High School (graduated from, if in the Spokane Area, secondary only) ________________________
Private or Parochial School Student Teaching Placement:
yes_____
no_____
if needed_____
Provide school, grade level and/or subject area for the following completed field experiences
EDTE 221L:
EDTE 301L:
EDTE 401L:__________________________________________________________________________________
EDTE454L:__________________________________________________________________________________
EDTE 505:
EDTE 506:
EDTE 507:
Choices available:
Elementary Student Teachers:
Secondary Student Teachers:
Rank order your placement choices.
Rank order your placement choices.
School and/or teacher
content area(s):
1st:
_____ high school
2nd:
_____ I would be willing to be placed in Middle
3rd:
School or High School
grade level choice:
1st:
2nd:
3rd:
__________________________
_____ middle school
School and/or teacher
1st:
2nd:
3rd: ____________________
Comments regarding placement:
SPOKANE, WASHINGTON 99258-0025 (509) 313-3516
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