Student Teaching Agreement Form This form serves as an initial step for those who are planning on student teaching, to connect with a cooperating teacher and faculty supervisor. This form helps collect necessary data and start initial conversations between student, cooperating teacher, and principal. This form is to be filled out at the beginning of the semester prior to your student teaching semester. You are encouraged to review all questions first and prepare all materials before completing the form. Your responses will not be saved until the form is submitted. All fields marked with asterisk (*) are required. header field Student Teacher Contact Info (student teaching semester) student_teacher_name required text field Student Teacher Name* Legal Name (Last, First M.I.) major required text field Major* content_area_and_grade_level required text field Certification Area and Grade Level* student_address required textarea field Address* Address during student teaching semester student_phone_number required text field Phone Number* student_email required e-mail address field Email* Non-Beloit College personal email for contact post graduation horizontal_line field header field Student Teaching School school_name required text field School Name* school_district required text field School District* school_address required textarea field School Address* school_phone_number required text field School Phone Number* semester_start_date date field Semester Start Date semester_end_date date field Semester End Date horizontal_line field header field Principal Contact principal_name required text field Principal Name* principal_email required e-mail address field Principal Email* i_acknowledge_that checkbox field I acknowledge that Email contact between principal, cooperating teacher, and student teacher have been made, all parties agree to move forward in the student teaching process horizontal_line field header field Cooperating Teacher teacher_name required text field Cooperating Teacher Name* teacher_phone_number required text field Cooperating Teacher Preferred Phone Number* please list the best number to reach you teacher_address required textarea field Cooperating Teacher Preferred Address* street name, city, state, zip teacher_preferred_email required e-mail address field Cooperating Teacher Preferred Email* file attachment field Cooperating Teacher Licensure Verification If your CT is working in the School District of Beloit, the Academic Coordinator will find this information. Otherwise, please work with your CT to upload their licensing information which certifies that they have at least 3 years of experience in their field. (50 MB max) i_acknowledge_that required checkbox field I acknowledge that* I am currently certified to teach and have at least three years of full-time teaching experience in my content area We have agreed on the following schedule: (Wisconsin requires a full semester placement based on the school district calendar) I am willing and able to complete all paperwork and evaluations for the student teacher prior to the completion of student teaching horizontal_line field header field Faculty Supervisor (Those student teaching locally do not need to fill this part as EDYS will make arrangement for you) supervisor_name required text field Supervisor Name* supervisor_phone_number text field Supervisor Phone Number supervisor_address text field Supervisor Address street name, city, state, zip code supervisor_email e-mail address field Supervisor Email file attachment field Supervisor Resume (if you petition to student teach outside of the stateline area) Attach a copy of your faculty supervisor’s resume to keep on file at Beloit College, if your supervisor has not worked with Beloit College in the past. (50 MB max) i_acknowledge_that checkbox field I acknowledge that I am willing and able to complete all paperwork and evaluations for the student teacher prior to the completion of student teaching horizontal_line field header field Affirmation of student teaching responsibilites by_signing_below_i_acknowledge required checkbox field By signing below, I acknowledge the following:* Give my cooperating teacher the utmost cooperation Be prompt and dependable in attendance Begin the school year at the same time as my cooperating teacher and follow the semester schedule of the school in which I am student teaching Prepare lesson plans well ahead of time; follow through and complete all assignments Complete and attend all student teaching seminar requirements on time Attend faculty and PTA meetings, Parent-Teacher Conferences and any school/community activities. Abide by all the faculty and school regulations Be a reflective educator, accept suggestions and criticisms and use them constructively Allocate sufficient time for frequent and regular conferences, formal and informal with my cooperating teacher and faculty supervisor Complete all evaluation testing materials (including edTPA and FORT Testing and submit them to all necessary parties in a timely manner Confer with my college supervisor following every observation of the teaching performance Represent both myself and Beloit College in a welcoming and professional manner Link (required)