Secondary and K-12 Candidates, this application consists of five requirements as follows
1.) You must complete and submit the information form on this page and the placement request form on the following page(s). Please read carefully, and review with your advisor to make certain that you are requesting a placement that will provide for you the best place to grow as a teacher. If you are choosing to be placed out of the Duluth area, please complete requested information and sign as appropriate. Note that you are not guaranteed a placement out of the Duluth area. Out-of-area placements are dependent upon recommendation of the Associate Department Head in consultation with STEP program faculty.
2.) Submit a copy of your current APAS, or Post-bac agreement
3.) Submit 2 copies of your resume. One hard copy should be handed in with this application, and one electronic copy should be sent to eruark@d.umn.edu
(Label the file: Your last name. First initial. resume) Your resume will be sent to your potential cooperating teachers to help them decide if you are a good fit with their courses.
4.) Submit 2 copies of an essay that will be shared with your potential cooperating teachers to help them determine whether you are a good fit with their philosophies and values. Your essay should be your introduction of yourself as a teacher to your potential cooperating teacher. The essay should identify and share your current understanding of what meaningful learning is for students in your content area, and explain how you would likely structure classroom opportunities and environments to contribute to meaningful learning for your students. The essay should include examples of methods and structures you hope to see in place in your classrooms, and examples of topics and concepts in your subject area that excite or inspire you. As you write, think about what you have learned about teaching and about yourself as a future teacher in the course of our program.
Your essay(s) should be submitted in hard copy as part of this application, and electronically to eruark@d.umn.edu
(Label the file: Your last name. First initial. essay) Make sure your essay contains no grammatical or spelling errors. Keep descriptions about yourself and your experiences positive. Maximum length: two pages, word processed and double spaced. Include your name in the upper right-hand corner.
Please note that this essay is an essential and vital portion of the application, as you will be working very closely with your cooperating teacher for an extended period of time. Your essay should establish to the reader who it is you hope to become as a teacher
5.) International Student Teaching only: Submit 2 copies of an essay reflecting on the following questions:
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Your essay(s) should be submitted in hard copy as part of this application, and electronically to eruark@d.umn.edu
(Label the file: Your last name. First initial. essay) Make sure your essay contains no grammatical or spelling errors. Keep descriptions about yourself and your experiences positive. Maximum length: two pages, word processed and double spaced. Include your name in the upper right-hand corner.
Please note that this essay is an essential and vital portion of the application, as you will be working very closely with your cooperating teacher for an extended period of time. Your essay should establish to the reader who it is you hope to become as a teacher
Submit your program clearance summary form. These forms are available through CEHSP and directions and clearance requirements can be found at http://www.d.umn.edu/educ/programs/field_experience/application/

UMD Department of Education
APPLICATION FOR STUDENT TEACHING (9/17/15)
Name (Last, First and Middle Initial) Student ID number
Local address
City State Zip
Local phone number
UMD email address
Permanent address
City State Zip
Cell phone (if applicable)
Phone number of someone who can contact you at any time.
I have read all the information in this packet and am aware of my responsibilities. I understand I will not be eligible for student teaching if I do not meet all of the stated requirements by the end of the semester preceding student teaching.
Once a placement has been confirmed, I understand that I may not request a change in the placement.
I am aware that student teaching is a full-time commitment and that UMD discourages student teachers from taking other classes, with the exception of the Professional Issues Seminar (Professional Development Seminar for K-12, 5-
12 majors), or being employed while student teaching.
I understand that this information will be shared with student teaching sites and UMD personnel as part of the placement process and that I am not guaranteed a placement location of my preference.
Student Signature Date
For advisor use only – this application will not be accepted without the advisor's signature.
I have reviewed this student’s progress. All requirements met.
Deficiencies (see Program Clearance Summary).
Advisor Signature
If you are requesting a placement in Zone 4, Special, Abroad, or Other, you must get the signature of the Program
Coordinator. If your student teaching placement is beyond a 40 mile radius around Duluth, a fee will be

assessed to cover the additional costs of supervision.(PLEASE INITIAL -ACKNOWLEDGING YOUR
ACCEPTANCE OF THIS OF OUT OF AREA FEE!) _____(Approx. $618)
This student meets the criteria for student teaching outside the Duluth area:
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Does not have a special contract (Professional Development Plan) related to practicum work, dispositions, UMD coursework or performance.
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Has maintained satisfactory progress in Block I and Block II field experiences.
Associate Department Head Signature

STUDENT TEACHING PLACEMENT REQUEST
This is an application to student teach during __________ semester, __________ (year)
License for which the field experience is requested, and grade level preferences:
Secondary Education . Preference: 7-9 or 6-8 9-12.
Major (s): ______________________________________________________
K-12. (Please circle your specialty: PE, art, vocal music, instrumental music (please specify your primary instrument __________________), Spanish, Ojibwe, French, German, Mandarin, or other world language
(please specify ____________________).
Educational experience background:
Identify the middle school (or schools) you attended: ___________________________________________
Identify the high school (or schools) you attended: _____________________________________________
Location Selection: Indicate your top three preferences for geographic area, not specific school site or community: (1 = first choice; 2 = second choice; 3 = third choice within the ZONES)
_____ Zone 1 (Within 40 miles, e.g., Duluth, Superior, Proctor, Hermantown, Albrook, Cloquet, Carlton,
Esko, Two Harbors, Wrenshall, Barnum, Moose Lake)
_____ Zone 2 (Iron Range, North Shore, and northern Wisconsin) Where? _______________________
_____ Zone 3 (Interstate 35 Corridor - Willow River, Sandstone, Hinckley) Where?__________________
_____ Zone 4 (Minneapolis, St. Paul, 694 Corridor.) Where?___________________________________
_____ Special - International Student Teaching (IST). (Eight weeks abroad and eight weeks local)
____ Ireland______Slovenia _____Belize ___________S. Korea
Special Considerations: List transportation concerns, wheel chair accessibility, interpreters, guides, etc.
Transportation available during student teaching:
_____ own car; _____ public transportation (bus); _____ other (bike, walk, etc.)
For office use only – check that each item is included in the application. NO STAPLES PLEASE!
_____ Information Sheet with advisor signature
_____ Placement Request Form
_____ Current APAS or updated Post-baccalaureate contract from Student Affairs.
_____ Resume - two copies 1 hard copy and one electronic copy sent to eruark@d.umn.edu
( Not required for already licensed teachers)
_____ Essay (Not required for already licensed teachers) (submit two copies one hard copy and one electronic copy to eruark@d.umn.edu
)
_____ Program Clearance Summary Form