TEXAS A&M UNIVERSITY SAN ANTONIO School of Education and Kinesiology Teacher Preparation and Certification Center

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1 Student Teaching Traditional/Flex MSI Pilot Cohort TEXAS A&M UNIVERSITY SAN ANTONIO Undergraduate Application For STUDENT TEACHING SPRING 2013 DEADLINE: SEPTEMBER 28, 2012 Student Teacher Applicant Name: Certification: Deliver completed application and supporting documents starting September 1, 2012: One University Way Room 216 Attach Supporting document as described on page 3. Attach a signed add/drop form San Antonio, Texas (210)

2 TEXAS A&M UNIVERSITY-SAN ANTONIO Teacher Candidate: (Name as it appears in Jaguar Connect) K#: Date: Degree Plan/Certification area: Please complete and submit application with supporting documentation to the Teacher Preparation and Certification Center in room 216 at Texas A&M University San Antonio - Main campus. TPCC staff will request degree audits from your advisor. Please indicate if the following have been completed: 1. Acceptance into the TPCC (approval letter on file) Yes No 2. Field Based Experience Semester I Yes No 3. Field Based Experience Semester II Yes No 4. Review Session PPR (minimum of 3 hrs.) Yes No 5. Review Session Content Area (minimum of 3 hrs.) Yes No 6. Practice Test PPR Yes No 7. Practice Test Content Area Yes No 8. Current Degree Plan (TPCC will request degree Yes No audit from advisor) For Office Use Only: Reviewed By: Approved Denied (TPCC Staff) Signature: (Director of Teacher Preparation and Certification) 2

3 Texas A&M University-San Antonio INSTRUCTIONS TO APPLY FOR ELEMENTARY AND SECONDARY/ALL LEVEL STUDENT TEACHING TPCC Student Teaching Spring 2013 To apply for student teaching: 1. All pre-service teacher candidates must have a letter of admission to the Teacher Preparation and Certification Center and have successfully completed two field based semesters prior to applying for the student teaching semester. 2. Student teaching should be completed the semester before graduation. Due to the intensity of student teaching requirements, it is recommended that all course work be completed prior to the student teaching semester. Students who take course work in addition to student teaching must have permission from the Director of Teacher Preparation and Certification. 3. A cumulative GPA of at least 2.5 (transfer and TAMU-SA work) and at least a 2.5 average in the delivery systems (Bilingual, Early Childhood, Special Education, secondary content area, etc.) are required before placement in student teaching. 4. Submit a current transcript printed from Jaguar Connect. 5. A copy of your current signed degree plan will be requested by TPCC. 6. Submit the complete application thoughtfully and completely handwritten with no errors, cross-outs, or whiteouts. (You will be required to correct errors). Your handwritten essay will be reviewed by TPCC staff and faculty. 7. Attach supporting documentation for review sessions, practice tests, field based semesters, and other required documents. Documentation of field based placements must include the semester completed, school district and campus of assignment, name of mentor teacher, type of classroom and name of university supervisor. Documentation of review sessions must include the in-person certificate, T-CERT certificate or a printed from the Testing & Assessment Officer indicating confirmation of hours. Documentation of practice tests must include the Practice Test Results (with your grade included) sent from the Testing & Assessment Officer. If review sessions or practice tests have not been completed, indicate such on page 2 of this application. Failure to complete review sessions and practice tests prior to student teaching will delay placement. 8. Submit complete application with all attachments to the TPCC office no later than Friday September 28, All students submitting applications late will be required to submit an appeal to the Director of for a late placement. All placements are made on a first come first served basis. Districts make placements and TPCC cannot guarantee requested placements. 3

4 Upon acceptance for student teaching: Texas A&M University San Antonio 1. Student will be notified of approval or denial by the TPCC Office. 2. Complete all documentation required in order to be processed by the assigned school district. You will be contacted by TPCC staff regarding the specific procedures you must follow. You will not be allowed to report to your assigned placement until you have been cleared through the school district. 3. Attend a mandatory orientation meeting which will be conducted on Friday, October 19 th, 2012 from 9:00a.m.-12:00p.m. at the Brooks Campus. 4. Do NOT attempt to make placements or contact district or campus staff regarding placements. Each district requires specific procedures in order to accept pre-service teachers and the TPCC center works directly with district contacts in order to make your placements. 5. Students will be required to attempt state exams in their certification area prior to completing student teaching. 6. TAMU-SA does not provide post-baccalaureate probationary certifications for students who do not pass the PPR after completing degree requirements. Students will only be recommended for standard certification upon meeting degree and state exam requirements. Student Teaching Placement Information: **Do not indicate preferences on this page. ** TRADITIONAL PROGRAM Students seeking EC-6 Bilingual, EC-12 Special Education and EC-12 Kinesiology certifications will be limited to student teaching placements in designated school districts: Bilingual EC-6: North East ISD Southwest ISD Northside ISD Harlandale ISD Special Education K-12: Northside ISD Southwest ISD Harlandale ISD 4

5 Texas A&M University San Antonio Physical Education EC-12: Northside ISD San Antonio ISD Harlandale ISD Southside ISD Students seeking EC-6 Generalist, 4-8 Generalist, and Secondary Content area certificates may identify 3 districts; however, placements will be made based upon a variety of factors and student requests cannot be insured. Placements are requested on a first come first served basis. Many school districts have limits in the number of student teachers accepted. If selecting other as a first choice, attach a letter of request describing extenuating circumstances. Students are NOT to contact districts in order to facilitate their own placements. Cooperating Districts include: East Central ISD North East ISD Southwest ISD Northside ISD Edgewood ISD Pleasanton ISD South San ISD School of Excellence in Education Southside ISD Harlandale ISD Floresville ISD Poteet ISD San Antonio ISD Medina Valley ISD Judson ISD *Other *Please select as first choice and a letter of request describing extenuating circumstances. Select districts listed for second and third choice. Ready From Day One - PILOT PROGRAM Students participating in the original MSI pilot cohort will be assigned as per program guidelines in their participating district. Students who are in the original Ready from Day one pilot program should clearly make the MSI choice on the front cover of this application and circle their assigned district below: San Antonio ISD Harlandale ISD Southside ISD Southwest ISD Northside ISD The completed Application with required attachments must be received by the TPCC office by Friday, September 28, Applications submitted after the deadline must receive special approval by the Director of Teacher Preparation and Certification. *If you are in the original MSI Pilot Cohort please clearly mark MSI on page 9 of this application when selecting a district. 5

6 Texas A&M University San Antonio CRIMINAL HISTORY BACKGROUND CHECK CONSENT FORM Texas public schools are permitted by state law to obtain criminal history records of all personnel employed or involved in volunteer services in the public schools (Texas Education Code Section ). The information requested below is necessary to obtain criminal history record information. I understand the information I am providing about age, sex, and ethnicity will be used only for the purpose of obtaining criminal record information. Please Print: Name: Last First M.I. Maiden Permanent Address: City: State: Zip Code: Home Phone: Cell Phone: K# Date Of Birth: Driver s License #: State: Expires: Gender: Male Female: Ethnicity/Race: Hispanic/Latino Non-Hispanic/Latino American Indian or Alaska Native Black or African American White Asian Hawaiian or other Pacific Islander Two or more races: I understand the purpose for providing the information above. I authorize Texas A&M University San Antonio to release this information to the necessary school districts in order for them to complete a criminal history background check. Student Signature Date 6

7 Texas A&M University San Antonio Teacher Education Program Disclosures Name: Last First M.I. Maiden Permanent Address: State: Zip Code: Home Phone: Cell Phone: K# Date of Birth: Certification Level: (List the grade level(s) in which you will be certified EC-6, 4-8, 8-12, All-Level) Texas A&M University-San Antonio expressly discloses the following: 1. As a provider of teacher education programs, TAMU-SA must ensure its students demonstrate adherence to the Code of Ethics and Standard Practices for Texas Educators, which requires the observance of federal and state law. An arrest, indictment, conviction, and/or deferred adjudication may result in a student being dismissed from the program. 2. While TAMU-SA does not perform criminal history background checks, Texas public schools are permitted by state law to conduct criminal history background checks on a person intended for hire or a person who has requested a volunteer position. As a participant in field experiences or student teaching in a Texas public school, you will be subject to a criminal history background check. 3. Admission of a student into the TAMU-SA Teacher Preparation Program and student participation in the program does not constitute any guarantee that the student will be accepted into a field experience or student teaching placement in a Texas public school. Failure to participate in field experiences may prevent a student from completing the TAMUS-SA Teacher Preparation Program and obtaining teacher certification from the Texas State Board for Educator Certification. 4. While TAMU-SA does not perform criminal history background checks, the Texas State Board for Educator Certification requests information regarding any previous arrest, indictment, conviction, and/or deferred adjudication. When applying for state certification, you will be subject to a criminal history background and fingerprint check by the State Board for Educator Certification. An applicant with a criminal history may be denied certification. By signing below, the student agrees he/she has read and understands the above disclosures. Student Signature Date 7

8 STUDENT TEACHING APPLICATION INFORMATION FOR COOPERATING SCHOOL DISTRICTS (Respond in your own handwriting) NAME: K# Gender: LOCAL ADDRESS CITY ZIP HOME ADDRESS CITY ZIP HOME PHONE CELL PHONE TAMU-SA Personal Certification area in which you are requesting a student teaching placement: EC-6 Generalist EC-12 Physical Education EC-6 Bilingual 8-12 Content area: Specify 4-8 Generalist 4-8 Content area: Specify EC-12 Special Education Other: Specify Are you also seeking an ESL endorsement? YES NO Is your OVERALL GPA 2.5 OR ABOVE (transfer and TAMU-SA work) YES NO Is your GPA 2.5 OR ABOVE IN TEACHING FIELD: (ie., Bilingual Ed., Special Ed., Mathematics, etc.): YES NO (attach current transcript printed from Jaguar Connect) Expected date of graduation: Month Year INFORMATION FOR TPCC OFFICE If you have school age children, please list the schools that they attend (district, campus, and grade): School Districts do not place pre-service teachers on campuses attended by their children. District Campus Grade District Campus Grade List all relatives on the school board or in upper level administration in districts you selected. Candidates will not be placed in districts in which they have relatives on the board of trustees or upper level administration. Name: Title District Relationship: Name: Title District Relationship: Name: Title District Relationship: *Courses you plan to take during Student Teaching (any campus) *Requires Approval by the Director of TPCC 8

9 In complete sentences, please respond to the following: What are your expectations of your student teaching experience? What do you expect to learn and do during this period? Writing sample will be reviewed for grammar and language skills. Pre-Service Field Experiences Field Experience #1 School Assigned Mentor Teacher Grade/Subject Semester University Supervisor Field Experience #2 School Assigned Mentor Teacher Grade/Subject Semester University Supervisor Please circle your certification program: TRADITIONAL MSI I request to be placed in one of the following districts for student teaching (Refer to pages 4 and 5 for choices according to your certification area) 1 st Choice 2 nd Choice 3 rd Choice We will do our best to accommodate your requests, but be advised that we DO NOT guarantee your placement at any of your 3 choices. Placements will be within a 50 mile radius of San Antonio. 9

10 Texas A&M University San Antonio : Student Teacher Audit To be completed and signed by student teacher candidate. TPCC will request degree audits and advisor signatures. K# Date: Student Name: According to my understanding, I need the following courses: Required &Elective Courses Transfer Courses Course Hours Course Hours Course Hours Course Hours *In addition to the required coursework student must meet grade point average (GPA) Student Teaching requirement: 2.5 Overall TAMU-SA GPA I understand that if I do not meet all requirements set forth by the Teacher Preparation and Certification Center, I will not be permitted to student teach. Student Signature Date Academic Advisor Date 10