Student Teaching Placement Materials
Checklist
Name:
Last, First Middle
Discipline/Subject Area/Specialty:
Paper clip this form on top of the items listed below. Give your completed paperwork to
Connie Schiff no later than one week from today, Click here to enter a date.. I will process the
applications in the order they are received if they are error free. Materials must be typed. You
may submit both paper and e-mail copies of your Profile and Student Teacher Personal Data.
E-mail copies will serve as backup copies for me that I can file and access. Paper copies are
required, however.
Are you in a sport?
Yes
No
If yes, what?
Please visit with me. Thanks.
K-12/5-12 Placement Application
Lists of Course Requirements—See Connie Schiff. (Do not include your
transcript)
Four typed copies of your Personal Data Form (Copy both sides)
Four typed, stapled copies of your Individual Profile Paper. Put your
name and major on the first page of each copy. Proofread. Paper must be
error free! Save a copy. If your Profile has errors, you will be required to
make corrections. This will delay your placement process.
Application for Education Minnesota Student Program and check for
enrollment fee paid. See Connie Schiff, Department Secretary.
In some circumstances a cooperating teacher or principal will request a
transcript of your grades. We will not release your transcript without
your written permission. Sign below if you grant permission for the
Director of K-12/5-12 Student Teachers to release your academic
transcript to prospective cooperating teachers or principals.
I authorize the Director of K-12/5-12 Student Teachers to release my transcript:
Click here to enter a date.
Signature
Date
Personal Profile Instructions

I suggest that you type your name and major at the top of your personal
profile. Do not create a formal greeting or a title.

Choose your words carefully. Your prospective cooperating teacher will
form her/his first impression of you from reading your profile.

Do not try to be erudite. Write in a voice that’s natural for you.

Highlight your interests in the subject matter you will teach. Mention
some of your favorite courses, interests, experiences.

You should include descriptions of specific contributions you have made
as a pre-service educator. Anecdotes are always effective. Lists of
accomplishments are impersonal, and often ineffective.

Share personal experiences that will help the prospective cooperating
teacher get a sense of who you are. These experiences, however, should
illustrate your commitment to teaching, learning, and young people.

One or two pages will be sufficient.

Word process. Spell and grammar check. Have someone proofread your
work before you hand it in.

Your paper must be free of errors. I will not send your profile to
prospective cooperating teachers if it contains errors. You will receive an
e-mail from me instructing you to correct errors and reprint copies for
your file so be certain to save a copy on your computer.

Four copies are required.
COOPERATING SCHOOLS K-12/SECONDARY STUDENT TEACHING
Please make your selection of student teaching sites from this list. I will attempt to place you in one of the three
districts/schools of your choice, but this may not be possible. Since the Director of K-12/Secondary Student Teaching has
responsibilities to fulfill on campus, placement of as many student teachers as possible in close proximity to the College of
Saint Benedict/Saint John’s University is desirable.
Albany School District
Little Falls Public Schools
Anoka School District
Andover High School
Anoka Senior High
Blaine Senior High
Champlin Park Senior High
Coon Rapids High School
Coon Rapids Middle School
Jackson Middle School
Fred Moore Middle School
Roosevelt Middle School
Melrose Area Schools
Minneapolis Schools
Benilde-Saint Margaret’s School
Totino Grace High School
Minneapolis Public Schools
Minnetonka Public Schools
Monticello Public Schools
Brooklyn Center School District
Osseo Area Schools
Brooklyn Junior High School
Maple Grove Junior High School
Maple Grove Senior High School
Northview Junior High School
Osseo Junior High School
Osseo Senior High School
ROCORI Schools
Paynesville Public Schools
Columbia Heights
Risen Christ K-8
Dassel-Cokato Public Schools
Robbinsdale Public Schools
Robbinsdale Spanish Immersion K-5
Becker School District
Benilde-St. Margret’s High School
Big Lake Junior/Senior High School
DeLaSalle High School
Edina Public Schools
Elk River Schools
Elk River Area High School
Rogers Junior High School
Salk Junior High School
VandenBerge Junior High School
Zimmerman Junior High School
Foley Public Schools
Fridley Public Schools
Hopkins Public Schools
Holdingford Schools
Kimball Schools
Litchfield Senior High School
Royalton Public Schools
Sartell Public Schools
Sauk Centre Public Schools
Sauk Rapids Schools
Saint Cloud Area Schools
Apollo Senior High School
Cathedral High School
John XXIII Middle School
North Junior High School
Saint John’s Preparatory School
South Junior High School
Technical High School
Upsala Schools
Wayzata Schools
Student Teacher of 5-12 Subject
Placement Application
Fall Semester
Spring Semester
Year
Year
Complete this form and return it to the Director of K-12/Secondary Student Teaching by the
deadline date specified in the seminar. It is your responsibility to determine your eligibility
for student teaching before you complete this request. Your request is to be for the semester
immediately following the semester of your current enrollment.
Name:
Last, First Middle
College/University Address
Phone
Home Address
Phone
Discipline/Subject Area
E-mail
You must successfully complete 16 or 20 weeks of student teaching. I will attempt to place you
in one of the three school districts of your choice. This may not be possible, however, so you
must be prepared for that eventuality.
Check Geographic Area Preference
Minneapolis/Suburban
St. Cloud/Surrounding Area
School District/School Choice
School District/School Choice
School District/School Choice
Would you like me to contact your clinical experience teacher regarding
student teaching? Teacher
School:
Do not contact a school principal or cooperating teacher to arrange your student teaching
placement. Also, you may not student teach in a school that you attended. Do not compare
your placement with other students’ placements. Some will receive placements early and some
late. I will e-mail you to inform you of your placement. By signing below, you attest to the fact
that you have met all Ed. Department requirements. If you are unsure, see Ed. Dept Handbook,
and inform me immediately.
Signature
Date: Click
here to enter a date.
Student Teacher of Vocal/Instrumental/Classroom
Music Placement Application
Fall Semester
Spring Semester
Year
Year
Complete this form and return it to the Director of K-12/Secondary Student Teaching by the
deadline date specified in the seminar. It is your responsibility to determine your eligibility for
student teaching before you complete this request. Your request is to be for the semester
immediately following the semester of your current enrollment.
Name:
Last, First Middle
College/University Address
Phone
Home Address
Phone
Discipline/Subject Area
E-mail
You must successfully complete 16 weeks of student teaching. You are required to teach for
eight weeks in an elementary school and eight weeks in a high school.
Please Check Geographic Area of Preference
Minneapolis/Suburban
St. Cloud/Surrounding Area
School District Choice
Cooperating Teacher/s Recommended
Music Department Professor’s Signature
School District Choice
Cooperating Teacher/s Recommended
Music Department Professor’s Signature
School District Choice
Cooperating Teacher/s Recommended
Music Department Professor’s Signature
Do not contact a school principal or cooperating teacher to arrange your student teaching
placement. Also, you may not student teach in a school that you attended. Do not compare your
placement with other students’ placements. Some will receive placements early, and some late. I
will e-mail you to inform you of your placement. By signing below, you attest to the fact that you
have met all Ed. Department requirements. If you are unsure, see Ed. Dept Handbook, and inform me
immediately.
Signature
Date: Click
here to enter a date.
I will not transport students while student teaching.
Signature
Date: Click
here to enter a date.
Student Teacher of K-12 Art, World Language,
Placement Application
Fall Semester
Spring Semester
Year
Year
Complete this form and return it to the Director of K-12/Secondary Student Teaching by the
deadline date specified in the seminar. Evidence of world language teacher candidate’s Oral
and Written proficiency must be in the candidate’s education department file by mid-semester
before the semester of student teaching. Your request is to be for the semester immediately
following the semester of your current enrollment. K-12 World Language applicants must past
oral and written proficiency test by mid-semester of the current term.
Name:
Last, First Middle
College/University Address
Phone
Home Address
Phone
Discipline/Subject Area
E-mail
You must successfully complete 8 weeks in an elementary or middle school and eight weeks in
a high school. Sometimes placements can be arranged in an immersion school for world
language.
Please Check Geographic Area of Preference
Minneapolis/Suburban
St. Cloud/Surrounding Area
School District/School Choice
School District/School Choice
School District/School Choice
Do not contact a school principal or cooperating teacher to arrange your student teaching
placement. Also, you may not student teach in a school that you attended. Do not compare
your placement with other students’ placements. Some will receive confirmation of
placements early, and some late. I will e-mail you to inform you of your placement. By signing
below, you attest to the fact that you have met all Ed. Department requirements. If you are
unsure, see Ed. Dept Handbook, and inform me immediately.
Signature
Date: Click
here to enter a date.
I will not transport students while student teaching.
Signature
Date: Click
here to enter a date.
Double Major
Placement Application
Fall Semester
Spring Semester
Year
Year
Complete this form and return it to the Director of K-12/Secondary Student Teaching by the
deadline date specified in the seminar. Evidence of world language teacher candidate’s Oral
and Written proficiency must be in the candidate’s education department file by mid-semester
before the semester of student teaching. Your request is to be for the semester immediately
following the semester of your current enrollment.
Name:
Last, First Middle
College/University Address
Phone
Home Address
Phone
Discipline/Subject Area
E-mail
You must successfully complete 20 weeks of student teaching. Rotation lengths will be
determined by the Directors of Elementary and K-12/5-12 Student Teachers.
Please Check Geographic Area of Preference
Minneapolis/Suburban
St. Cloud/Surrounding Area
School District/School Choice
School District/School Choice
School District/School Choice
Do not contact a school principal or cooperating teacher to arrange your student teaching
placement. Also, you may not student teach in a school that you attended. Do not compare
your placement with other students’ placements. Some will receive confirmation of
placements early, and some late. I will e-mail you to inform you of your placement. By signing
below, you attest to the fact that you have met all Ed. Department requirements. If you are
unsure, see Ed. Dept Handbook, and inform me immediately.
Signature
Date: Click
here to enter a date.
I will not transport students while student teaching.
Signature
Date: Click
here to enter a date.
Guidelines for Student Teachers
Initial Responsibilities
1. After you are informed of your student teaching assignment, call your
cooperating teachers to arrange an appointment for a preliminary visit.
Arrive promptly and dress professionally. During this visit try to do the
following:
A. Meet your cooperating teacher and the principal if possible.
B. Visit the school secretary and ask to be placed on the school
mailing list if possible.
C. Ask for a teacher or student teacher handbook.
D. Become familiar with the basic textbooks you will be using.
E. Ask your cooperating teacher if you can develop your own
teaching unit. Explain that you are responsible for creating a
two-week teaching unit during either your first or second
rotation.
F. Obtain a school calendar to follow during your student teaching
experience.
G. Study the schools’ websites before you visit the schools.
2. During your student teaching experience you are to free yourself from
all college campus responsibilities (except mandatory student teaching
seminars). You are not to be enrolled in any other college course. You
are also encouraged to provide sufficient time to fulfill your student
teaching responsibilities. Student teachers may not be employed as
dormitory resident assistants.
3. You are discouraged from participating in sports or other extracurricular
activities during your student teaching experience.
4. Concrete evidence of personal professional liability protection in the form
of membership in a recognized professional organization or an insurance
policy providing a minimum of one million dollars and personal liability
insurance must be on file in the Education Department at the college
before you begin student teaching.
It is your responsibility to arrange for housing and transportation.
Student Teacher Personal Data
Department of Education CSB/SJU
Name:
Last, First Middle
Permanent Address:
Address:
City, State:
Phone:
Zip:
Address:
City, State:
Phone:
Zip:
College Address:
Place of Birth (City/County):
Birth Date:
Check the type of community in which you lived the major part of your life:
Rural
Small City
Suburb
Large City
Elementary and secondary schools from which you have graduated. Universities and colleges you have
attended:
Name of Institution
Location
Types of work experiences you have had:
Type of Work
Length of Time
Dates Attended
Experiences in working in educational settings (approximate number of hours and grade level(s)):
Teacher Aide
Summer Camp Teaching
Topics/Subjects Taught
List Others:
List professional journals you use as a resource:
Check your talents or skills you have that you believe will be assets as a teacher:
Journalism
Lifesaving
Declamation
Singing
Crafts
Debate
Art
Music
Computer Knowledge
Dramatics
Leadership Skills
Computer Games
Others:
Recreation: Select those that you enjoy and participate in:
Reading
Hiking
Boating
Writing
Singing
Swimming
Movies
Skating
Chess
Ceramics
Camping
Texting
Fishing
Hunting
Playing Cards
Painting
Skiing
Composing
Competitive Sports
Snowboarding
Photography
Playing an Instrument
Playing Video Games