Pre-Interview Information Sheet Please Return the following Via to Director of Student Teaching Joan Peterson Littman

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1 Dear Student, Thank you for requesting an application package. Included are several documents to facilitate your application process. Our department looks forward to celebrating this final program step with you. Included in this package are as follows: 1. Pre-Interview Information Sheet 2. Successfully Completing Your Student Teaching Application 3. Recommendation Request From Student 4. Student Teaching Application 5. Compliance Report 6. Liability Insurance Waiver

2 Pre-Interview Information Sheet Please Return the following Via to Director of Student Teaching Joan Peterson Littman Today s date including year Full Name Full Address Address: City: Zip: Home Phone # Cell Phone # Year you entered Marygrove College Type of student (circle one) Undergraduate Post Degree Graduate Other If graduate student: (circle) GRIOT SAGE TASC Advisor s name Undergrad School & Degree earned Grad School & Degrees earned When do you plan to student teach? Undergraduate major Other Schools attended Circle one: Elementary Secondary Endorsement Tests you have passed: Tests you still need to pass: Courses currently in progress: Courses still needed: Do you have any X, Y, or I grades now? If so, explain. Have you completed EDU 665? IS EDU 665 in progress? Who is the professor? Are you currently teaching? Where? Will you request On-The- Job? Marygrove address Where would you like to Student Teach? Explain. Other information you wish to share. Any Questions?

3 Successfully Completing Your Student Teaching Application Please bear the following things in mind as you fill out your application: This document will be used to market you to prospective principals and sites. It represents your: Attention to detail Ability to follow directions English language skills Ability to express yourself Pertinent coursework Past classroom experience Past experiences working with children Work ethics as demonstrated by other jobs and positions you have had. Common Errors Not including EVERY course in your major and minor, even if it was taken at another institution. This is of special interest to individuals in your field who are deciding if you appear well prepared. Not including such things as helping with scouts with your own children or other activities you supported while your own child participated, young peoples activities you supported at your house of worship. Noting special training or experience you have had such as MLPP training or experience with a special math program such as Chicago Math. Not presenting 3 letters of recommendation ON LETTERHEAD. You may want to use the Request for a Recommendation Letter Form that is available from the director s office in order to focus your recommenders. Submit three copies of each letter. Do not have letters sent to Marygrove. Not listing a stable, working phone number Use your Mom s for a home # if need be but very often numbers change from the time of submission until placement so we need a number where you can be located (note: this is also true for job applications or resumes) Use paperclips instead of stapling because they are sent by fax to schools. You may an initial copy to but you must mail or deliver three hard copies complete with letters of reference to the Education Office, 2 nd Floor Madame Cadillac Building Get your application proofread by at least two people------letting the preparation of your application go until the last minute, most often results in DISASTER. An incomplete application puts you on the bottom of the placement list until completed.

4 Dear, I am applying for permission to student teach as the final step in my goal to become a teacher. I have been requested to submit three letters of reference and I would very much appreciate having you submit one on my behalf. The application requires that the letter be submitted on a letterhead. Below are some of the qualities and skills of interest. You may use one or two or choose other qualities you see as more fitting. Work habits Attendance/ Punctuality Social skills Academic accomplishments Skills working with teens or children Skills in a school setting Thank you very much for assisting me with your time and support. Sincerely, This is not a confidential recommendation so you may send to me at

5 MARYGROVE COLLEGE STUDENT TEACHING APPLICATION If you will be ready for a student teaching placement within the next year (F 10 or W 11), your major/minor classes have been completed, the appropriate MTTC tests have been passed and you are finishing the professional teaching classes, then it is time to make an appointment for an interview and complete an application for placement. Please contact the Director of Student Teaching at Carefully complete the application which will be sent to you and then electronically provide the completed application to the Director of Student Teaching 48 hours before your scheduled interview. 1. Pay close attention to editing your teaching narrative and philosophy statement text; this application will be presented to districts, principals, and/or cooperating teachers. 2. Bring three copies of current character reference letters (dated and on letterhead) from professional, youth related experiences volunteer or paid to your interview. 3. Documentation of a TB test result done within the past six months and proof of insurance must be provided before your placement is finalized. Completed applications (properly filled out and containing all test dates) are dated, numbered and then placed on the Master Assignment List in order of receipt. Incomplete, unedited applications seriously jeopardize your chances of being placed in the desired semester. Student teaching is a 15-week, full-time commitment in a classroom. You are discouraged from taking other classes or working at other jobs during this time, as it is a very demanding experience. There is a mandatory/regular/bi-weekly student teaching seminar at Marygrove, with assignments that support your work in the classroom. The first seminar takes place on the first Saturday of the semester; attendance is obligatory. You are also required to complete an Action Research Assignment during the semester. Your program advisor will verify your teaching major and minor, your professional teaching classes, and the passing of the MTTC tests. Be sure you have provided all appropriate transcripts to your advisor. This initial educational audit determines your eligibility to register for Student Teaching and be placed in a classroom. Course registration must be done in person and requires the permission of the Director of Student Teaching. The Director of Student Teaching is responsible for arranging the placement of teacher candidates in schools. Please do not contact schools regarding this yourself. Placements for the FA term are arranged the spring before; placements for WI term are arranged in early fall. As we are competing with other teacher preparation colleges, we can only place fully qualified candidates who apply well in advance. Your application will be prioritized according to when it is received and how complete it is. Once the complete application has been submitted and you have been interviewed by the Director of Student Teaching, Joan Peterson Littman, you will be notified of your placement and authorized to register for EDU 499/699. You may be asked to visit a site for an interview prior to final placement.

6 Marygrove College Education Department Marygrove College Student Teaching Student Teaching Application Complete application and submit it electronically to the Director of Student Teaching On the job applicants submit a class schedule. Three (3) hard copies of the edited and signed final application, resume, and letters of recommendation will be returned to the Director of Student Teaching, Joan Peterson Littman, or to Kimberly Henderson (MC 215; ). Name: Term Requested: Fall 11 Winter 12 Address: Home Phone: Fall 12 Winter 13 City: State, Zip: Marygrove (Only your Marygrove will be used for communication with you) Social Security # (last four digits): Cell Phone: Work Phone: Academic Program: GRIOT ECE TASC Endorsement SAGE Undergraduate Post Degree Special Ed. Endorsement Student Teaching Information The Director of Student Teaching arranges for ALL student teaching placements. Options for Grade level requests: Certification Level: Elementary: Secondary Completed Major: Completed Minor: Elementary: Self contained (1-5) or (1-8): Major Subject (6-8): Secondary: (6-12): (check one) 15 week traditional On-The-Job (OTJ) 8-week endorsement On-The Job* (requires approval of location and position): *Marygrove College Education Department requires at least one year of classroom experience at the level and in the discipline/subject of the certification application. The position is continued in the On-The-Job placement. The school administrator s recommendation is required for and OTJ student placement. OTJ applicants must submit a current formal schedule of classes, including level, subject and time of each class taught. Please have the building administrator sign the schedule.

7 College Experiences What college degree(s) do you presently hold? College: College: College: Degree: Degree: Degree: Classroom Experiences District: School: Level: Subject: Date: District: School: Level: Subject: Date: (Please list most recent site first) District: School: Level: Subject: Date: District: School: Level: Subject: Date: Work Experiences 1. Teaching (include Para pro, Teacher Aide work, etc. Include dates) Please attach a recent resume and two letters of recommendation 2. Describe experiences and activities where you have worked with young children or teenagers; (Examples: choirs, formalized tutoring religious instruction, scouting, etc.) 3. Describe other work experiences you have had:

8 Dates of Passed Certification Testing (Copies of test scores must be on file with the Certification Officer Gale McFedries MTTC Major Test: MTTC Endorsement Test: Other MTTC Test: Date: Date: Date: Professional Teaching Courses List all Endorsement course work for your discipline; please include the institution for all transfer courses. Course Number Course Title

9 Coursework List by course number and title all the classes you have completed (or will complete prior to student teaching) in your major, minor and professional education areas. ALL coursework must be completed and Michigan Certification Tests passed before student teaching. Course Number Course Title Major Course Number Course Title Minor

10 TEACHING PHILOSOPHY This is a very important section that provides information for the district, the college supervisor and the supervising teacher. Include a word-processed, edited, full page that states: I. Your philosophy of teaching. II. Why you entered the field of teaching? III. Some of your aspirations. You may need to add a page to your document, however you must start on this form. Signature: Type Your Name: Date Submitted:

11 Compliance Report - Public Act 289 Senate Enrolled Bill 679 Section 1535A The State of Michigan Department of Education in compliance with the above stated public act requires any person requesting admission to the teacher certification program complete the following information. Have you ever been convicted of a felony or misdemeanor that resulted in either incarceration or probation? YES: NO: If your answer is NO (you have not been convicted of a felony or misdemeanor), complete and return this form with your student teaching application. If yes, please read the following information carefully: You may not be eligible for employment as a teacher in the State of Michigan; Please make an appointment to discuss this issue with the Director of Student Teaching immediately; Marygrove College will not place you for student teaching until your criminal record has been reviewed; Admission to the program is approval to enroll in the campus-based courses only; Marygrove College cannot guarantee Certification. Should this be unclear or you have additional questions, please contact the Teacher Certification Officer Please refer to the Michigan Department of Education website for additional information regarding teacher certification requirements Signature: Social Security# (last four digits) Printed Name: Date:

12 *For On-The-Job Applicants Only* Administrative Support Documentation This form is to be completed by individuals applying for On-The-Job Student Teaching experience. Student: Please complete the top portion of this form, and give to the administrator at the school at which you d like to complete your student teaching experience. Name of Student to be mentored: Name of Cooperating Teacher: Grade: School Name: School Phone #: Principal: # of years teaching experience: School Address: School Fax: Principal Marygrove College Department of Education is considering the placement of a teaching certification candidate in an On-The-Job student teaching position at your school. The candidate must have taught for one year at the level and in the discipline of the teaching certification preparation. Elementary candidates teach grades 1-8 self-contained or 6-8 in the teaching Major; Secondary candidates teach grades 6-12 in their Major. Teaching in the Minor requires the Minor methods course. Please initial the following statements, sign this form and return it to the student teacher candidate: I support an On-The-Job student teaching placement and will observe the student teacher at least times during the 15-week term. I verify that this teacher candidate has taught full-time for one full academic year. 1) Grade: 2) Subjects Taught: I have assigned a mentor teacher,, who has been certified for at least 5 years and who will: 1) consistently observe, mentor and evaluate the student teacher (suggest five times), 2) complete a midterm and final evaluation, 3) be the contact person for the visiting College Supervisor. I will not ask to the student teacher to substitute in other classroom I will give the student teacher opportunities to observe other classrooms (3-5 times). I will provide opportunities for the student teacher to attend professional workshops and/or conferences that have been approved by the administration. Signature of the Administrator: Date: NOTE: Approval by the Marygrove College Director of Student Teaching will verify that the student teacher will be placed in the school specified on this recommendation memo.

13 * For On - The - Job Applicants Only * Administrative Support Documentation For an Endorsement Candidate (Special Education-LD, Early Childhood, Etc.) The Marygrove College Department of Education is considering the approval of an endorsement candidate in an On-The-Job student teaching position at your school. The endorsement will be. The candidate for an on-the-job placement must have taught for one year at the level and in the discipline of the endorsement. Endorsement Candidates teach 8 weeks in the endorsement area. This form is to be completed by individuals applying for an ENDORSEMENT STUDENT TEACHING EXPERIENCE Student: Please complete the top portion of this form, and give to the administrator at the school at which you d like to complete your endorsement student teaching experience (8/10 weeks). Your Name: Grade(s): School Name: School Address: Principal: Principal s Endorsement Desired Please initial the following statements, sign this form and return to student teacher candidate: I support an On-The-Job student teaching endorsement placement and will observe the student teacher 4 times during the 8-week placement. I verify that this endorsement candidate has taught full-time for one full academic year in the endorsement area. 1) Grade: 2) Subjects Taught: I have assigned a mentor teacher,, who has been certified for at least 5 years and who will: 1) consistently observe, mentor and evaluate the student teacher (at least 4 times), 2) complete a midterm and final evaluation, 3) be the contact person for the visiting College Supervisor. I will provide an opportunity for the candidate to share current best practices used in his/her classroom with the staff (approximately 15-minute presentation). I will not ask to the student teacher to substitute in other classrooms. I will give the student teacher opportunities to observe other classrooms (3-5 times). I will provide opportunities for the student teacher to attend professional workshops and/or conferences that have been approved by the administration. Signature of the Administrator: Date: NOTE: Approval by the Marygrove College Director of Student Teaching will verify that the student teacher will be placed in the school specified on this recommendation memo.

14 As a prospective Marygrove College Student Teacher, I understand that current Marygrove college policy requires that all potential employees submit to a Criminal Conviction History Check. I am providing the information in the spaces below in order to expedite Marygrove College s effort to obtain such a background check. The results will be unavailable to school districts and it is possible that they will require a background check or fingerprinting of their own. I understand that the below information is required to complete the Criminal Conviction History Check. I authorize Marygrove College to utilize the below information for the sole purpose of obtaining only criminal history file search. Name First Middle Initial Last Maiden Name/Names Previously Used Birth Date Race Male Female Drivers License Number Social Security Number Signature To further expedite the Criminal History Background Check process, I am voluntarily providing the following true information on prior criminal convictions. I understand the falsification of this information may curtail my ability to continue my program. Criminal Offense State Year Sentence Comments Criminal Offense State Year Sentence Comments Criminal Offense State Year Sentence Comments Mail or deliver to: Joan Littman, Director of Student Teaching 220 Madam Cadillac Building/ Education Department Marygrove College, 8425 W. McNichols Rd, Detroit, MI Student Teaching Application Revised 2/24/11 S. Sharp

15 LIABILITY INSURANCE WAIVER The Education Department has informed me of their requirement that I purchase Professional Liability Insurance coverage. I understand that I need to carry professional Liability Insurance during my student teaching. The Education Department requires that I select the insurance package through membership in a Professional Organization. Information on two of these organizations, Student Michigan Education Association ( ) and Christian Educators Association International ( has been made available to me via the Marygrove website. The Education Department has also shared with me that it may be possible to add professional liability insurance to my homeowner s insurance policy. I am aware that in addition to the information provided to me about these sources, I have the option of choosing alternative liability insurance. I have indicated below my decision regarding Professional Liability: I have purchased or plan to obtain Professional Liability Insurance through the company named below. I will provide proof of this purchase and it s expiration date to the Marygrove Student Teaching Director prior to the start of my student teaching semester. Name of Company Print Name Signature Student I.D. Number Date Note: Due as specified during student teaching interview. Student Teaching Application Revised 2/24/11 S. Sharp

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