CPS SCHOOL REQUEST TO HOST STUDENT TEACHERS
If you're a CPS administrator or teacher interested in hosting a student teacher(s) at your school site, please complete this form in its entirety. Upon successful submission of your request, a CPS Student Teaching Program representative will contact you within 1-3 days to discuss your request.
Thank you for supporting pre-service teachers that are committed to the Chicago Public School District.
CPS Student Teaching Program
Contact Information
School Name:
Elementary
High School
Area:
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(
Primary Contact
)
Student Teacher Coordinator/Designee Name:
Title:
Phone Number:
Fax Number:
Email Address:
(
Secondary Contact
)
Name:
Title:
Phone Number:
Fax Number:
Email Address:
**
Complete Only If Applicable
**
If you’re a teacher requesting a student teacher(s), how many years of full-time teaching do you possess?:
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2
3
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9
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12
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14
15
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17
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19
20+
Please list any professional awards, accomplishments, etc. that you’ve attained (i.e. Golden Apple, National Board Certification, Advanced Degree, etc.):
Total Number of Student Teachers Requested:
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3
4
5
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7
8
9
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16
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18
19
20
Semester Requesting Student Teachers:
Fall 2007 (September-December)
Winter/Spring 2008 (January-June)
Fall 2008 (September-December)
Winter/Spring 2009 (January-June)
Fall 2009 (September-December)
Winter/Spring 2010 (January-June)
Fall 2010 (September-December)
(
Secondary Only
)
Subject Areas
- Please indicate the number of teachers requested for each subject. This total should not exceed total student teachers requested for the year.
Math:
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19
20
Science:
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9
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15
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18
19
20
English/LA:
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19
20
Social Studies/History:
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19
20
Other:
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7
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9
10
11
12
13
14
15
16
17
18
19
20
Please explain (i.e. Journalism; Business; Art; Special Education; Etc.):
(
Elementary Only
)
Grade Level
- Please include the number of teachers requested for each grade level. This total should not exceed total student teachers requested for the year.
Pre-K:
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19
20
K-3:
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18
19
20
4-6:
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19
20
7-8:
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12
13
14
15
16
17
18
19
20
Other:
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2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Please explain (i.e. Special Ed - Any Grade; Art - All Grades; Etc.):
Student Teacher Requirements
Have you established any exclusive working relationships with local universities?:
Yes
No
Please explain:
Protocol for acceptance (i.e. GPA Requirements; Resume; Interview Process; Etc.):
What types of support systems for student teachers do you offer incoming student teachers?:
Does your school have any deadlines for accepting student teachers?:
Yes
No
If so, Fall Deadlines (September-December):
If so, Spring Deadlines (January- June):
Other Notes/Comments:
*****
Upon successful completion of this form & submission of your request, a CPS Student Teaching Program representative will contact you within 1-3 days to discuss your request.
If you have any questions, please contact Dameka Redic, CPS Student Teaching Coordinator at (773) 553-1191, or email
studentteach@cps.k12.il.us
.
Thank you for your continued support of the CPS Student Teaching Program!
PLEASE PRINT A COPY OF THIS FORM FOR YOUR RECORDS.