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University Supervisor & Faculty Forms

Clinical Experiences and Certification Processes (CECP)

Forms

Use the links below for various forms in pdf format.

• Assessment of legal and ethical conduct (pdf)
• Communications concerns (pdf)
• Criminal Background Check (pdf)
• Disposition concerns (pdf)
• Emergency out-of-State student teaching placement form (pdf)
• Student Self-Placement Form for Pre-Student Teaching(PDF)
• Student Teaching Agreement (pdf)
• Successful experience with children or youth (pdf)
• Teacher education performance based requirements checklist

Forms for Special Ed Student Teaching:

• Application form (pdf)
• Special education chicago field-base application (pdf)

Forms for K-12 and Secondary Student Teaching:

• Application form for student teaching (pdf)
• Unit Mid-term assessment (pdf)
• Unit Final assessment (pdf)
• Weekly reflection worksheet (pdf)
• Weekly schedule for student teaching (pdf)

Forms for C&I Elementary, Early Childhood and Middle Level Student Teaching (from Handbook):

• Self Assessment form (pdf)
• Unit Mid-term assessment (pdf)
• Unit Final assessment (pdf)
• C&I Weekly goal sheets (pdf)
• Writing the teaching unit (pdf)

Additional Student Planning Forms (Scoresheets):

• C&I ECE program requirements scoresheet (pdf)
• C&I ELED program requirements scoresheet (pdf)
• C&I ML program requirements scoresheet (pdf)

Your Grading Forms (Used by your University Supervisor):

• Assessment (Rating) scale for DAF (pdf)
• Computing the grade form (Manual tally sheet) (pdf)
• Developmental Analysis Form (DAF) (pdf)
• Summative Student Teacher Evaluation form (pdf)