1 STUDENT TEACHING APPLICATION EARLY ELEMENTARY EDUCATION GRADES K-3 UNIVERSITY OF MAINE AT AUGUSTA DUE DATE: October 1 for spring placements and Feb 1 for fall placements. SEMESTER AND YEAR FOR WHICH YOU ARE APPLYING_____________________________ PERSONAL INFORMATION NAME________________________________________STUDENT ID#_________________ LOCAL ADDRESS___________________________________________________________ CITY/STATE/ZIP_____________________________________________________________ PHONE_________________________________CELL PHONE________________________ EMAIL ADDRESS______________________________________________________________ PROGRAM/COURSEWORK INFORMATION TEACHER CERTIFICATION ROUTE_________________________________________ Minor, Certificate, Concentration, Other DOCUMENTATION REQUIRED 1. Certification Exams A copy of your score reports or registration must be attached. List scores or date the exam will be taken. NOTE: Praxis I OR CORE and II must be completed successfully before student teaching. PPST/PRAXIS I (Minimum score on Reading: 176; Writing; 175; Mathematics 175. Can also be a composite score of 526 on the three sections with no single score being more than three points lower than the required scores.) ● ● ● Reading__________ Writing___________ Mathematics_______ OR PRAXIS Core Academic Skills for Educators (Minimum score on Reading: 156; Writing: 162; Mathematics: 150. Can also be a composite score of 468 on the three sections with no single score being more than three points lower than the required scores above. Reading____________ Writing ____________ Mathematics_________ PRAXIS II ● Score___________ ● Test Code __________ PLT (Principles of Learning and Teaching) ● Score__________ OR ● Test Code ________ Date scheduled___________ Will be scheduled during internship________ 2 2. Copy of transcripts (from Maine Street) ● Completed all required early education courses with a C- or better ○ EDU 250,EDU 362, EDU 366, EDU 327, EDU 329, EDU 325, EDU 387, and two (2) from early childhood education courses EDU 328, HUS 160, HUS 261, OR EDU 352, or equivalents. ● Completed 6 credits hours each in liberal arts mathematics, English, science and social studies ● No incompletes in any courses 5. Letter of introduction: 1 page Format: 12cpi Times New Roman with 1 inch margins following formal letter format. The letter will be shared with cooperating teachers and building principals in each placement. You may describe your educational experience and goals, your personal qualities, experience with students, why you wish to teach this discipline, or anything that you feel will help your mentor teacher better know you. (submitted electronically) 5. One letter of recommendation from your content area advisor attesting to your readiness to work with children in a public school setting (if a non-matriculated student, a professional reference is acceptable) 6. One letter of recommendation from a education course instructor attesting to your readiness to work with children in a public school setting (can be in education or content area; if a non-matriculated student, a personal reference is acceptable) 7. Proof of fingerprinting and criminal check 8. Teacher e-portfolio (link) to include Documentation of understanding and growth in at least four of the eleven Maine Teaching Standards. Documentation of at least two units of study you have constructed that are aligned with appropriate standards. Documentation of at least 10 hours of observation. NOTE: E-portfolio link will be shared with cooperating teacher. NOTE: Students who have transferred in credits from another institution or who are nonmatriculated must have their portfolios pre-approved prior to submitting the application. NOTE: PLEASE SUBMIT YOUR PORTFOLIO AS AN E-PORTFOLIO 3 REQUESTS FOR PLACEMENTS* Student teaching can be accomplished for one 15-week placement or two placements of 8 weeks and 7 weeks. You may request specific schools, grade levels, and teachers. Please be aware, however, that even though we will honor your requests when possible, you may not be able to be placed in the schools you request. *Request for placement document adapted from the student teaching application from the University of Presque Isle In what area of the state do you wish to be placed? ● _________RSU/District/Town Academy ● _________County ● _________Town/City FIRST CHOICES First placement School name______________________________________________________________ School address_____________________________________________________________ School phone___________________________School principal_______________________ Principal’s email___________________________________________________________ Grade level__________ 7-12 Subject area_____________________ Teacher with whom you would like to work, if possible__________________________________ Choose one: ● _____One 15 week placement (provide two choices) ● _____Two placements (One 8 and one 7 week placement; provide two choices for each) ● _____Three placements (5 weeks each; provide two choices for each) Second placement School name______________________________________________________________ School address_____________________________________________________________ School phone___________________________School principal_______________________ Principal’s email___________________________________________________________ Grade level__________ 7-12 Subject area_____________________ Teacher with whom you would like to work, if possible__________________________________ Choose one: ● _____One 15 week placement ● _____Two placements (One 8 and one 7 week placement( 4 ● _____Three placements (5 weeks each) SECOND CHOICES First placement; second choice School name______________________________________________________________ School address_____________________________________________________________ School phone___________________________School principal_______________________ Principal’s email___________________________________________________________ Grade level__________ 7-12 Subject area_____________________ Teacher with whom you would like to work, if possible__________________________________ Choose one: ● _____One 15 week placement ● _____Two placements (One 8 and one 7 week placement( ● _____Three placements (5 weeks each) Second placement; second choice School name______________________________________________________________ School address_____________________________________________________________ School phone___________________________School principal_______________________ Principal’s email___________________________________________________________ Grade level__________ 7-12 Subject area_____________________ Teacher with whom you would like to work, if possible__________________________________ Choose one: ● _____One 15 week placement ● _____Two placements (One 8 and one 7 week placement) ● _____Three placements (5 weeks each) Please make sure your name is on all documents and submit the completed application package to: Cindy Dean, Ed.D. 110 Jewett Hall University of Maine at Augusta 46 University Drive Augusta, ME 0433 Email: cynthia.dean@maine.edu Office phone: 207.621.3192 5 Non-Discrimination Notice In complying with the letter and spirit of applicable laws and in pursuing its own goals of diversity, the University of Maine System shall not discriminate on the grounds of race, color, religion, sex, sexual orientation, including transgender status and gender expression, national origin, citizenship status, age, disability, genetic information or veterans status in employment, education, and all other areas of the University System. The University provides reasonable accommodations to qualified individuals with disabilities upon request. Questions and complaints about discrimination in any area of the University should be directed to Sheri R. Stevens, Director of Equal Opportunity (207) 621-3110, 46 University Drive, Augusta, Maine 04330