Indiana University East
School of Education
APPLICATION FOR ELEMENTARY STUDENT TEACHING WITH THE INTENT TO STUDENT
TEACH DURING THE SEMESTER OF __________________________ (Fill in the semester and year you
expect to student teach.)
Directions: Return one completed hard copies and one electronic copy (Microsoft Word) as an email attachment to the Director of Field
Experiences Jane Lamb at jaalamb@iue.edu. This document will be distributed to principals, cooperating teachers, university supervisors,
and other professionals involved in the placement and/or supervision of student teachers.
APPLICATION FOR STUDENT TEACHING
Part I Information Portion
PERSONAL INFORMATION
NAME:
DATE:
PRESENT CLASSIFICATION (“X” one):
BIRTHDATE
______Junior
______Senior
(mm-dd-yy):
______Graduate
CONTACT INFORMATION
Current
Address
Telephone:
Email:
(If same as above, leave blank.)
Telephone:
Email:
EMERGENCY INFORMATION (for person to contact)
Permanent
Address
Name:
Relationship:
Home phone:
Work phone:
Address:
EDUCATIONAL INFORMATON
Degree
Major/Minor
School
Year Completed
Honors
Activities
DEGREE INFORMATION
(“X” all that apply )
ELEMENTARY: ______ Generalist (K-6)
Minor: ______Math
______ Mild Intervention ______Reading
______Early Childhood
______Physical Education
LENGTH OF STUDENT TEACHING ASSIGNMENT
Student teaching continues for 12 weeks (a total of 60 days, full time). School holidays and vacation days do not
count as student teaching days. Teacher in-service days/½ days do count as student teaching days.
Fall semester: Student teaching begins on the first
Spring semester: Student teaching begins on the first day
teacher workday at the beginning of the assigned
in January when teachers and/or students of the assigned
school corporation’s school year. Ends in early
school corporation return after winter break. Ends in late
November.
March or early April.
(Part II Essay Portion begins on the next page.)
11-2013
Indiana University East
APPLICATION FOR STUDENT TEACHING
School of Education
Part II Essay Portion
 Everything in RED must be deleted from your final copy of this student teaching application prior to
submission to the Director of Field Experiences.
 Before beginning Part II be sure Part I is adjusted to remain on one page with Part II beginning
immediately after the page break.
Essay Directions: Type/word-process your responses (in short essay form) to the questions below.
Remember, professional educators will be reading this document to learn more about your potential as a
student teacher. Correct grammar, spelling, punctuation, word usage, etc. are absolutely necessary.
You may take a draft of your document to the IUE Writing Lab for assistance in preparing your final
copy. Proofread your completed work carefully! A poorly written document could delay your student
teaching placement process.
 Type (or use as is) the question in bold print before each response typed in unbolded
print.
 Double space or use 1.5 spacing in essay responses.
 There is no required length for your essay responses. However, less than 3 sentences
would be inadequate and more than one page (1.5 or double spaced) would be excessive.
 Be attentive to the paging of your completed document. If you have only a few sentences
going onto a final page, make some formatting adjustments to include those last few
sentences on the previous page. School superintendents, administrative secretaries,
principals and/or cooperating teachers who may be printing out copies of your electronic
application do not need to be using an additional sheet of paper that your careful
formatting could have eliminated. If a page ends with the bolded question at the bottom
and the response is on the next page, move the question to the top of the next page.
 When Part II is complete, the first thing in this section at the top of the page will be
question number 1. Remember to remove everything in red type.
1. What factors influenced your decision to pursue a teaching career? These can be personal, professional
or both. Name the factors and support them with evidence or a rationale.
2. What are the three most important attributes of an effective teacher? These can come from your
experiences as a K-12 student or from things you’ve learned in your coursework here at IUE.
“Effective” is a key word in this question.
3. What special skills, interests, or experiences (i.e., sports, drama, music, travel, volunteer work,
coaching, work experience, computer skills, etc.) can you bring into the classroom or school?
Share what you can contribute to the enhancement of any school environment. This is about how a
school will benefit from your contributions and presence. It’s not about what the school will do for you.
4. List the specific areas for which you would appreciate special assistance (i.e., planning, organizing,
classroom management, questioning techniques, etc.) during student teaching? Review the INTASC
principles and Division themes before answering this question. Since you will have to prove your
implementation of INTASC and themes during student teaching, it would be helpful to focus on these
standards now as you respond to this question.
5. Give a description of how you see yourself as a teacher. As you move through the teacher education program
you will document your answers to the question “Who am I as a teacher?” This essay question requires you to
begin thinking about and envisioning yourself as a teacher in the future and documents your answer to “Who
am I as a teacher?” at this early point in the teacher education program.
11-2013