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Dickinson State University Teacher Education Program Student Teaching (Dickinson State University)

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Student Teaching Application/ssteckler/2020 09 01
2019 12 03
Dickinson State University
Teacher Education Program
Student Teaching Application Instructions
Applications for Student Teaching are due in the School of Education Office on or before the deadline:
Application Requirements:
1. Attend the mandatory meeting for Student Teaching applicants early in the application term;
2. Apply for graduation;
3. Prepare and present your portfolio to a faculty team prior to the application deadline;
4. Provide two wallet sized photos;
5. Compose a personal narrative;
6. Complete a Student Teaching Application;
7. Obtain Proof of Liability Insurance (spring applicants may request an extension with the Field
Experiences Coordinator);
8. Complete a fingerprint packet;
9. Candidates approved to student teach will attend a mandatory meeting at the end of the application
term.
Requirements for Student Teaching:
☐
Personal narrative
☐
2.75 Cumulative GPA
**Student will need to complete an eligibility spreadsheet to
determine GPA in Major and Minor.
☐
2.75 GPA in Major
☐
2.50 GPA in Minor
☐
Completion of all major and professional education courses with a “C” or better (“S” for “S/U”
courses)
☐
Completion of appropriate Praxis II exams before the end of the application term
☐
Proof of Liability Insurance
☐
Completion of FBI/BCI criminal background check through ESPB
☐
Successful portfolio defense
All of these actions must be successfully completed in order for you to student teach in the desired
semester. If you do not meet these requirements, please contact your advisor in the School of Education
before you complete and submit your application.
GUIDELINES
Fall Student Teaching Applications: October 1
Spring Student Teaching Applications: March 1
Student Teaching Application/ssteckler/2020 09 01
2019 12 03
1. Personal Narrative
Candidates will create a 2-page, double-spaced personal narrative using the format listed below. The
narrative should be professional quality, computer generated, and demonstrate cognizance of the
mechanics of composition. Be sure to include your name at the top of the document. Have your
advisor or some other faculty member proofread the document before you submit your application.
This serves as your first introduction to your cooperating teacher(s) and principal. Make it a positive
one!
Outline for Personal Narrative:
I. Why do you want to become a teacher?
II. EARLY LIFE: This might include where you were born and raised and a little about your family.
This section need not be long.
III. ELEMENTARY AND SECONDARY SCHOOL: Where did you attend school? What subjects did you
enjoy? In what extracurricular activities were you engaged?
IV. WORK EXPERIENCE: Have you been employed? If so, what type of work did you perform?
V. COLLEGE: What college(s) have you attended? What types of activities have you taken part in
during your college life?
VI. STUDENT TEACHING/FUTURE: What do you want to achieve in your student teaching
experience? What are you looking forward to in your experience? What do you expect to be
doing five years from now? What goals do you have for the near future?
2. Photographs
2 - 2”X3” wallet sized photographs need to be submitted with the application. The photographs must
be head and shoulder photographs. No snap shots/” selfies” will be accepted. Photographs must be cut
apart and your name printed on the back. Photos must be vertical when printed, no horizontal
pictures.
3. Enrollment in ELED/SEED 498
You will *NOT* enroll yourself in the student teaching course (ELED 498A/K or SEED 498). Rather, this
is handled by the Teacher Education Department. In order for you to be enrolled in the course, you
must:
1) Take care of any holds that exist on your account, and
2) Accept the Financial Aid Obligation Agreement in Campus Connection for the semester in
which you will student teach.
Student Teaching Application/ssteckler/2020 09 01
2019 12 03
Student Placement Policy
Student teaching candidates are permitted to request up to three districts/schools in which to complete the
student teaching experience; however, they are not guaranteed placement in their preferred sites. Factors
included in the placement decision-making process include variation of the candidate’s early field
experiences, as well as the needs of the cooperating school/district. Additionally, secondary candidates
cannot complete their student teaching experience in the same high school from which they graduated; and
no candidate may complete student teaching with a cooperating teacher who was once his/her teacher in
a K-12 setting. Under no circumstances should candidates attempt to secure their own placements. All
arrangements for student teaching are handled through the Field Experiences Coordinator.
Candidates will be placed within an 80-mile radius of their base campus. If they wish to complete their
student teaching beyond this radius, the following conditions must be met: (1) Candidates must have a 3.0
cumulative and content-specific GPA; (2) Candidates must have the recommendation from both a School of
Education faculty member and one other faculty member (see the “Out of Area Application”); and (3)
Approval from the Teacher Education Council.
If the aforementioned conditions have been met, the Field Experiences Coordinator will attempt to secure an
out-of-area placement. Such placements incur additional fees for university supervisor travel and/or contract
remuneration. Depending on the distance from campus, the chair may assign a DSU faculty member to serve
as university supervisor. In those cases, candidates are responsible to paying additional travel expenses
beyond the 80-mile radius. In cases where a DSU faculty member cannot serve as university supervisor, a
supervisor closer to the placement site will need to be hired. Candidates will be responsible for paying the
full supervision fee, which varies regionally within the range of $350 to $3000. Fees associated with out-of-
area placements will be added to the candidate’s DSU bill for student teaching term.
Fingerprinting Procedure
All candidates will need to be fingerprinted for student teaching, following the ESPB instructions. You will
submit your fingerprints (and other related materials) with your application. DSU will send your fingerprints
to ESPB for you. If you have been fingerprinted for a substitute license in the last few months, you do *not*
need to complete the fingerprint packet. However, you will need to include with your application the
confirmation email that you received from ESPB or your substitution license.
The Dickinson Police Department fingerprints on Wednesday and Friday from 9:00 am to 12:00 pm.
Applicants will need to bring $15 for the fingerprinting fee and a valid driver’s license.
Bismarck-based applicants must make an appointment for fingerprinting with ID METRYX (701-390-1000).
Once your fingerprints are processed, ESPB will send you an email containing the results of your fingerprint
background check. You *must* forward this email to dsu.education@dickinsonstate.edu.
Student Teaching Application/ssteckler/2020 09 01
2019 12 03
Dickinson State University
Teacher Education Program
Student Teaching Application
Name:
Address:
Major:
☐ Elementary Education
☐ Secondary Education:
☐ K-12:
EMPL ID:
Minor and/or
Endorsements:
Phone:
Email:
*Please provide DSU email address and a personal email address. *
High
School
Recommendation of Department (For Office use only.)
❒
Approved
❒
Approved with Concerns
Concerns:
❒
Denied
Reasons:
Department Chair Signature:
Date:
Recommendation of Teacher Education Council (For Office use only.)
❒
Approved
❒
Approved with Concerns
Concerns:
❒
Denied
Reasons:
Teacher Education Council Chair:
Date:
Choose a subject:
Choose a subject:
Student Teaching Application/ssteckler/2020 09 01
2019 12 03
Praxis II Test Information
❒ I have taken and passed the Praxis II: Principles of Learning and Teaching (Either K-6 or 7-12). I have had the
scores sent to DSU.
❒ I have taken and passed the correct Praxis II: Content Area exam. I have had the scores sent to DSU.
❒ I have scheduled the Praxis II exams for: _________________________________________ .
Consent to Release of Background Record:
The Family Educational Rights and Privacy Act (FERPA) establishes certain rights for students regarding the privacy of
their records. While parents, guardians, spouses, and others may have an interest in the student’s record, access to or
release of the education record is only by written student consent.
I consent to the sharing of the criminal background investigation information provided by the State of North Dakota
with the administrator of the school in which I have been assigned to complete my student teaching by the DSU
School of Education. This documentation includes the Bureau of Criminal Investigation and Federal Bureau of
Investigation.
I understand that I will be required to provide a copy of my background investigation document to the DSU
Department of Education before my student teaching semester begins.
I acknowledge by my signature that I understand although I am not required to release my records, I am giving my
consent to release that information.
_______________________________________________________________________________________
Teacher Candidate Signature
_______________________________________________________________________________________
Printed Name
_______________________________________________________________________________________
Date
Student Teaching Application/ssteckler/2020 09 01
2019 12 03
Student Teaching Agreement
I affirm that I have met or will meet by the end of this term all the requirements to Student Teach.
I agree to:
1. Follow policies as stated in the Teacher Education Handbook and the Student Teaching Handbook;
2. Adhere to the school district policies at the student teaching placement site;
3. Complete background checks and submit results to the School of Education office by May 1 (if student
teaching in the fall) and December 1 (if student teaching in the spring);
4. Complete Praxis II testing both in the subject area and the Principles of Learning and Teaching and send
results to the School of Education office;
5. Demonstrate professionalism throughout the student teaching experience;
6. Complete all requirements of the student teaching assignment;
7. Establish and maintain a collaborative and respectful relationship with the Cooperating Teachers, University
Supervisor, other educators, administrators, students and the Field Experiences Coordinator;
8. Maintain confidentiality of all faculty/student communications or interaction that occur during, or are
associated with, the student teaching experience; and
9. Maintain confidentiality of all faculty/student communications or relations that occur during, or are
associated with the experience. Students will adhere to the confidentiality policies of the cooperating
program and expectation of the university. Students will not discuss their experience with anyone outside of
their cooperating teacher, mentor, and professor. Using any social media platform to share information
about the children or families is PROHIBITED. Violation of the confidentiality policy may result in termination
from the experience.
I acknowledge:
1. I have accessed the Teacher Education Council’s Student Teaching Handbook either online or hard-copy. I
have read and agree to abide by the standards, policies, and procedures defined or referenced in the
handbook. I understand that I have an obligation to inform the Field Experiences Coordinator (FEC) of any
changes in person information. I also accept responsibility for contacting the FEC if I have any questions,
concerns, or need further explanation;
2. I have provided (or will provide before student teaching starts) proof of liability insurance to the School of
Education;
3. I understand and accept the condition that the Teacher Education Council, Dickinson State University, and the
assigned public school district are released from any liability related to accidents or any other unexpected
event which may occur in conjunction with my participation in required or voluntary activities during student
teaching.
With my signature below I willingly accept to uphold any and all requirements as stated above. Failure to fulfill any of
the above requirements may result in disciplinary action that might include removal from the student teaching
experience.
Teacher Candidate Signature: __________________________________________________________________
Printed Name: ______________________________________________________________________________
Date: ______________________________________________________________________________________
Student Teaching Application/ssteckler/2020 09 01
2019 12 03
Student Teaching Placement Request
Student Teaching Placement Request
Grade level preference:
School:
Reason:
Choice #1:
Choice #2:
Choice #3:
**Although consideration will be given to preferences for grade level and district/school, there is no
guarantee of placement in preferred grade or district/school.
NOTE: Candidates who wish to student teach outside an 80-mile radius of Dickinson or Bismarck will need to
complete the Out of Area application on the following pages.
Student Teaching Application/ssteckler/2020 09 01
2019 12 03
Application for Student Teaching
Outside the 80-mile Radius
Teacher Candidate Name: __________________________________________ Date: __________________________
Student Teaching Term: ____________ Major & Minor/Endorsements: ______________________________________
Name of School Requested:___________________________________ City/State: _____________________________
**NOTE: Your preferences will be taken into consideration when placements are made; however, there is no
guarantee that you will be placed in this school.
Out of Area (OOA) Placement Agreement
I have asked for an Out of Area placement for student teaching and understand there are qualifications that must be
met in order for the Out of Area placement to be secured.
I understand….
There will be a charge placed on my student account to cover the cost of an Out of Area Supervisor (university
supervisor). The minimum amount is $300 per placement. The OOA Supervisor can charge up to $3000.
The Teacher Education Council grants final approval to students that meet the criteria for Out of Area Placement.
I agree to the requirements outlined in the Teacher Education Handbook for Out of Area Placements.
Please justify your request to teach out of the 80-mile radius (e.g., diverse population, size of school district, job
opportunities).
Teacher Candidate Signature: _________________________________ Date: __________________
Student Teaching Application/ssteckler/2020 09 01
2019 12 03
Recommendation Form to Accompany the Application for
Student Teaching Outside the 80-mile Radius
Teacher Candidate’s Name: __________________________ Date: ______________________
Note to Teacher Candidate: Submit this form to two different faculty members: One should be your Academic Advisor
and the second a School of Education faculty member.
Faculty Member:
Please print name.
Please evaluate the above named student on the criteria listed below. The rating scale is based on (4) Exceeds
Expectation; (3) Meets Expectation; (2) Developing; and (1) Emerging.
4
3
2
1
4
3
2
1
Knowledge of subject matter
Initiative
Resourcefulness
Attendance record
Communication skills
Personal appearance
Ability to work with others
Promise for professional growth
Judgement and tact
Flexibility
Instructional ability
Punctuality
Maturity of student
Character/conduct
Supplementary or summary remarks: Faculty Member: Please use this section to comment on the teacher candidate’s
professional training and other factors that would be relevant to this teacher candidate’s application to teach outside
our normal radius of 80 miles. Comments should specifically address the issue of potential success in this requested
student teaching experience. Please be aware that your comments will be reviewed by the Teacher Education Council.
Please return to the School of Education when completed.
Faculty signature: _________________________________________________ Date: ____________
Student Teaching Application/ssteckler/2020 09 01
2019 12 03
Recommendation Form to Accompany the Application for
Student Teaching Outside the 80-mile Radius
Teacher Candidate’s Name: __________________________ Date: ______________________
Note to Teacher Candidate: Submit this form to two different faculty members: One should be your Academic Advisor
and the second a School of Education faculty member.
Faculty Member:
Please print name.
Please evaluate the above named student on the criteria listed below. The rating scale is based on (4) Exceeds
Expectation; (3) Meets Expectation; (2) Developing; and (1) Emerging.
4
3
2
1
4
3
2
1
Knowledge of subject matter
Initiative
Resourcefulness
Attendance record
Communication skills
Personal appearance
Ability to work with others
Promise for professional growth
Judgement and tact
Flexibility
Instructional ability
Punctuality
Maturity of student
Character/conduct
Supplementary or summary remarks: Faculty Member: Please use this section to comment on the teacher candidate’s
professional training and other factors that would be relevant to this teacher candidate’s application to teach outside
our normal radius of 80 miles. Comments should specifically address the issue of potential success in this requested
student teaching experience. Please be aware that your comments will be reviewed by the Teacher Education Council.
Please return to the School of Education when completed.
Faculty signature: _________________________________________________ Date: ____________
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