ELEMENTARY STUDENT TEACHING APPLICATION
Congratulations! Your student teaching application is the next big step in completing the certification process. It is
essential that you represent yourself in the most professional way possible. This means turning in the most professional
application possible – spell checked, proof read and spell checked again.
When you turn in your application, it should be ready to present to the school districts. While you will meet with the
placement coordinator to discuss the application, the focus of that meeting is to discuss the desired geographical area
and/or what you are hoping to gain from your student teaching experience. The intention is not to focus on making
corrections. If your application has multiple errors or is incomplete in any way, it will not be accepted by the placement
office. It will then be considered late, which may ultimately, cause a delay in your student teaching term. Two individuals
must proofread your application, cover letter and resume.
Directions for completing this application:
1. Remember to print your Merlin transcript
2. Be sure to physically insert your cover letter, resume and philosophy statement in this packet. Be sure to have two
people proofread them.
3. Complete the mandated DCFS reporter online training at: http://northcentralcollege.edu/academics/dept-divprogs/education/mandatory-reporting-child-abuse . Students are required to print the training completion certificate as
well as the DCFS Acknowledgement of Mandated Reporter Status form
http://northcentralcollege.edu/Documents/htb/DCFS.pdf and turn them in with this application
4. Do not staple your application – please paperclip all pages together. Do not print your resume and cover letter on
resume paper – simple copy paper is fine. Please submit single sided pages – do not print on both sides.
5. Remember to sign up to meet with the placement coordinator when turning in your application.
6. Your application is due the third Monday of the term. It is due to Stadium 240 by 8:00 A.M.
Late applications will not be presented out until all other applicants in your subject area are placed.
Application Checklist:
Student Teaching Data Sheet
Initialed Guidelines / Department Policies
Merlin Transcript
Signatures of two proofreaders
Proofreader #1:_________________________________________________________________________
Proofreader #2:_________________________________________________________________________
Cover Letter
Resume
Philosophy Statement
DCFS Mandated Reporter Certificate
DCFS Acknowledgement of Mandated Reporter Status form
Sign up for a meeting with the Elementary Placement Coordinator
NCC Elementary Education ST Application – 4/2013
STUDENT TEACHING DATA SHEET
Last Name:
First Name:
Middle Initial:
Permanent address:
City:
ZIP Code:
State:
Phone:
E-Mail:
Local address:
City:
State:
I plan to live at my:
Zip Code:
local address
Middle School Endorsement
YES
Student Teaching Term:
TAP Test Passed:
FALL
YES
Content Test Passed:
permanent address during student teaching
WINTER
NO
YES
NO
SPRING
of year:
Date Passed (or type “ACT” if waived from requirement):
NO
Date Passed:
Date you will be taking content test if you have not successfully passed:
STUDENT TEACHING RESIDENCE
Please list the city you will be living in during your student teaching term
Grade Level Preference:
Primary (1st - 3rd grade)
Intermediate (4th-5th grade)
Middle School
If there is a particular district in which you completed a practicum or volunteer hours that you would like to return to,
please list the school, district, and cooperating teacher:
School:
District:
Cooperating Teacher:
Please list if family members or personal friends attend or are employed by any school or district:
School:
District:
Relationship:
School:
District:
Relationship:
School:
District:
Relationship:
THE PLACEMENT OFFICE WILL MAKE ALL FINAL DECISIONS ON STUDENT TEACHING PLACEMENTS.
Placement decisions are made at the discretion of the department and are made based on availability, district policy,
compatibility with cooperating teacher, and other factors related to the best interest of the student.
SCHOOLS ATTENDED
List the school, city and state of the schools you attended:
Elementary:
Middle School:
High School:
_____________________________________________________________________________________________
STUDENT SIGNATURE
DATE
NCC Elementary Education ST Application – 4/2013
STUDENT NAME:
Please initial by each item indicating you have read and understood the following rules and department policies
that are strictly enforced to maximize your student teaching experience:
________
No other classes will be taken during the term in which you are student teaching
________
You may not work nor participate in athletics during the term in which you are student teaching
________
You are not allowed to student teach in a school from which you graduated or in which your children
attend, or in a school in which you have a relative employed or who serves as a school board member.
Disclosure of this information must be provided on the Student Teaching Data Sheet.
________
You may not seek your own student teaching placement. Likewise, no person may seek a placement on
your behalf. If a placement is sought by anyone other than the NCC Placement Office, you will not be
placed at the school / in the district in which you or someone else, attempted to secure a placement.
________
You must have your own transportation to your student teaching placement.
________
Your student teaching placement must be located within a 30-mile radius of the college campus.
________
You must pass the content test prior to the first day of the term in which you are student teaching.
Results must be posted prior to the first day of student teaching.
The Department of Education strongly encourages all students to take the content test two
reporting test cycles prior to the first day of your student teaching term.
________
Failure to pass the content test prior to the start of your student teaching term will result in your placement
being canceled, and your student teaching term being delayed until such time as you receive a passing
result. If your student teaching placement is canceled because you did not pass the content test prior to
student teaching, another placement will not be sought until passing scores are received.
________
If you receive a “Recommend with Reservation” from either the Education Department or your Major
Department (secondary/K-12 only), you will begin the monitoring of Academic and Professional Behavior
Process, as described in the Department of Education Handbook and a student teaching placement is not
guaranteed.
In these instances, your student teaching term will be delayed if a placement cannot be secured three
weeks prior to the first day of student teaching.
________
In addition to your name being submitted to the Education Department, and your Major Department
(secondary/K-12 only) for recommendation, your name will also be submitted to the Dean of Students to
check for any known misconduct issues that need to be considered prior to you being presented for
student teaching. Information obtained from the Dean of Students could result in the student being
placed on monitoring.
________
The placement process may take up to 10 months to complete.
________
The placement office will not “retract” a placement request once it has been presented to a district.
________
A district may request an interview or additional information. It is your responsibility to provide the
information and schedule an interview in a timely and professional manner.
________
If you plan to student teach during the SPRING term, you will take the spring break of the school at which
you are student teaching. You DO NOT follow the NCC spring break schedule.
__________________________________________________________________________________________
Signature**
Date
**Signature indicates that you have read and understood the above rules and department policies that are strictly enforced.**
NCC Elementary Education ST Application – 4/2013
Permission to Release Information:
I authorize the Department of Education to release information contained in this application to school districts in order to
secure a student teaching placement.
I further authorize the department to release the results of my background check to school districts in order to comply with
district requirements for student teaching placements.
I also understand that a district may require an additional background check and/or TB test. Should an additional
background check and/or TB test be required, I understand that all costs are my responsibility.
I also understand that NCC will verify that I am not listed on either the IL Sex Offender or the IL Violent Offender websites.
I have reviewed the NCC Education Department portfolio requirements and will meet these requirements as outlined prior
to the term in which I am student teaching.
__________________________________________________________________________________________
Signature
Date
For Office Use Only:
I HAVE INITIALED THE ABOVE EDUCATION DEPARTMENT GUIDELINES AND POLICIES FOR STUDENT
TEACHING AND HAVE RECEIVED A COPY.
__________________________________________________________________________________________
SIGNATURE
DATE
NCC Elementary Education ST Application – 4/2013
Add your Cover Letter, Resume, Merlin transcript and Philosophy Statement to the end of the packet
Cover Letter:
Utilize framework Jeff Denard, Director of NCC Career Center, shared during ST application workshop.
Resume:
Utilize multiple examples in ST application workshop handout.
Educational Philosophy (writing sample):
Describe your educational philosophy (i.e.: what is the role of the teacher; what is the role of the student; how would you
integrate technology in your classroom; what methodologies are most effective; other topics related to teaching). Do not
write on all statement starters listed above; pick one. The philosophy statement should be one page (single-spaced).
NCC Elementary Education ST Application – 4/2013