CENTRAL CONNECTICUT STATE UNIVERSITY

1615 Stanley Street New Britain, CT 06050

Office of School-Community Partnerships Barnard Hall, Room 334

School of Education and Professional Studies Phone: (860) 832-2417; 832-2067

Cover Sheet: This cover is retained by the Office of School-Community Partnerships; the remainder of the application packet is sent to school districts for review

APPLICATION FOR STUDENT TEACHING – Fall 2015

To be typed, re-done with a template, and/or word processed. Please provide 4 complete copies of all forms.

Included in each packet: one copy each of your unofficial transcripts to date; a current teacher candidate resume, two essays. Include a signed copy of the Code of Professional Responsibility for Educators. Bring documentation of fingerprinting to the appointment.

Policy for Student Teaching

I understand that student teaching policy requires:

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·  a full-time commitment and adherence to the full teaching day.

·  that all prerequisite program courses must be satisfactorily completed prior to student teaching with a C or better.

·  that I must have and maintain a 2.7 cumulative GPA.

·  any incompletes on my transcript must be rectified no later than 2 weeks after the submission deadline.

·  that only those courses that are listed as concurrent requirements are permitted during the student teaching semester.

·  that if I fail to meet the above requirements in a timely fashion, that I will not be permitted to student teach.

·  that if I reject a placement or am removed from a placement the OSCP is under no obligation to make a second placement.

·  that I must abide by the placement practices of the OSCP. [See website for more information- http://www.education.ccsu.edu/oscp]

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Signature: Date:

Name: (Last, First, Middle Initial)

Student ID #:

Student Status:

Undergraduate

Graduate

Subject Matter Major:

Level: Elementary Secondary NK-12

Current Address:

City/State/Zip:

Current phone number:

Name and Location of High School from which you graduated:

Name of College/University from which you graduated: (Graduate Students only)

If you have a relative in a school system to which you may be assigned (child, teacher, employee, etc.), list below:

Transcript Release: Please sign below if you agree to allow distribution of your transcript and related materials if necessary for placement. (Some districts require a transcript).

Signature: Date:


(Cover Page)

CENTRAL CONNECTICUT STATE UNIVERSITY

1615 Stanley Street New Britain, CT 06050

Office of School-Community Partnerships Barnard Hall, Room 334

School of Education and Professional Studies Phone: (860) 832-2417; 832-2067

APPLICATION FOR STUDENT TEACHING

(To be typed or word-processed)

Name: (Last, First, Middle Initial)

Subject Matter Major/Discipline:

Level: Elementary Secondary NK-12

Home Address:

City/State/Zip:

Phone:

Address during Student Teaching:

City/State/Zip:

Phone:

Expected Date of CCSU Graduation:

Name & Location of College/University from which you graduated: (Graduate Students Only)

List below the catalog numbers and course titles that you will have completed prior to student teaching in your subject matter major and professional education. Place a star next to the professional courses and subject matter major courses you are presently taking. For courses not taken at CCSU, omit the catalog number but include the course title and name of the university.

Subject Matter Major/Discipline:

______

CATALOG NO. AND COURSE TITLE CATALOG NO. AND COURSE TITLE


CCSU Application for Student Teaching

Do not include this form in your application. Do use this as a guide to develop your two essays for student teaching. Use a title for each of your essays. It is essential that your writing be professional, accurate, and articulate. No application will be sent to a district with errors in grammar, punctuation, or spelling. Do know that often whether or not you will be accepted as a student teacher by a district depends largely on how you present yourself in these essays.

  1. Compose a brief autobiography that highlights experiences and dispositions that will be meaningful in your role as a teacher. Emphasize the experiences that you feel will be an asset to you as a teacher, such as experiences working with children, college activities, work experiences, leadership activities, special interests or talents, travel, etc. Attach this autobiography to your application
  1. State briefly some things that you would like to accomplish during the student teaching period. Discuss your own professional goals and your goals for the learners in your classroom. Attach this as a separate essay to your application.


CENTRAL CONNECTICUT STATE UNIVERSITY

1615 Stanley Street New Britain, CT 06050

Office of School-Community Partnerships Barnard Hall, Room 334

School of Education and Professional Studies Phone: (860) 832-2417; 832-2067

APPLICATION FOR STUDENT TEACHING

SAMPLE

Name: (Last, First, Middle Initial) O’Hara, Scarlett

Subject Matter Major/Discipline: mathematics

Level: X Elementary Secondary NK-12

Home Address: 3 Tara Way

City/State/Zip: Oakville, CT 06000

Phone: (203) 555-5555

Address during Student Teaching: SAME

City/State/Zip:

Phone:

Expected Date of CCSU Graduation: Dec. 2012

Name & Location of College/University from which you graduated: (Graduate Students Only)

List below the catalog numbers and course titles that you will have completed prior to student teaching in your subject matter major and professional education. Place a star next to the professional courses and subject matter major courses you are presently taking. For courses not taken at CCSU, omit the catalog number but include the course title and name of the university.

Subject Matter Major: Mathematics, Science, Geography

______

CATALOG NO. AND COURSE TITLE CATALOG NO. AND COURSE TITLE

______

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Eastern Connecticut State University

Trigonometry

Precalculus

Number Patterns

Concepts in Biology

Intro. To Chemistry

Tourism and its Influence

Central Connecticut State University

Math 103 Number Systems *RDG 412 Literacy in Elem. Schools.

Math 203 Logic and Geometry EDT 210 Intro to Ed Tech

Math 446 Intro to Comp Program. EDTE 315 Prin of Lrng

Stat. 104 Elem. Statistics

SPED 315 Intro to Ed Lrns with Exceptionalities

Bio 132 Ecology RDG 315 Intro to Literacy

ESCI 117 Intro to Solar Systems *EDT 415 Dev. Inst. Materials

Geog 110 Intro to Geography *FA 412 Fine Arts across Curriculum

Geog 120 Regional Geography *EDF 415 Ed. Foundations

Geog 330 US. and Canada *SCI 412 Curriculum Stds. in Science

EDTE 210 Ed. & Tchr Ldrship in Div Lrng Comm *EDTE 420 Field Experience Practicum

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