2024/2025 Faculty of Education - Field Experiences (For use by Zone 6 teachers interested in U of L Professional Semester I and II Student Teachers) FOIP Statement Protection of Privacy - The personal information requested on this form is collected under the authority of Section 33 (c) of the Alberta Freedom of Information and Protection of Privacy Act (“Act”) and will be protected under Part 2 of the Act. The information is collected for the purpose of identifying practicum and internship placements for students. If you have any inquiries in regards to the collection of your personal information, please direct those inquiries to: FOIP Coordinator, University of Lethbridge, 4401 University Dr. West, Lethbridge, Alberta T1K 3M4, telephone: 403-332-4620, email: foip@uleth.ca. Section 1: General Teacher Information Salutation: Given: * Surname: * Former Surname: E-mail: * School Name: * School City: * Permanent Certificate: * Yes No Years of teaching experience: * Fall Grade(s)/Subjects (Sep. - Dec.): * Spring Grade(s)/Subjects (Jan. - Jun.): * What will your 2024-2025 teaching assignment be?: * Full-Time 1/2-Time am pm Have you mentored a U of L Student Teacher/Intern before?: * Yes No Section 2: Placement Information Please indicate the level(s) of practicum student you are interested in. If you have more than one preference, specify preference by number order (i.e. 1,2). We cannot guarantee preferences or placements, however we will do our best to accommodate your request. Requests will be kept on file for the 2024/2025 school year: 123 Education 2500: Grades K - 6, Fall (Sep. - Dec.) Education 2500: Grades K - 6, Fall (Sep. - Dec.) - 1 Education 2500: Grades K - 6, Fall (Sep. - Dec.) - 2 Education 2500: Grades K - 6, Fall (Sep. - Dec.) - 3 Professional Semester I (PS I): usually Grades 1 – 6, five-week practicum offered once yearly (November to December) Professional Semester I (PS I): usually Grades 1 – 6, five-week practicum offered once yearly (November to December) - 1 Professional Semester I (PS I): usually Grades 1 – 6, five-week practicum offered once yearly (November to December) - 2 Professional Semester I (PS I): usually Grades 1 – 6, five-week practicum offered once yearly (November to December) - 3 Professional Semester II (PS II): usually Grades 7 – 12, but sometimes Elementary grades, six-week practicum offered once yearly (March to April) Professional Semester II (PS II): usually Grades 7 – 12, but sometimes Elementary grades, six-week practicum offered once yearly (March to April) - 1 Professional Semester II (PS II): usually Grades 7 – 12, but sometimes Elementary grades, six-week practicum offered once yearly (March to April) - 2 Professional Semester II (PS II): usually Grades 7 – 12, but sometimes Elementary grades, six-week practicum offered once yearly (March to April) - 3 Agree * I have made my school administrator aware of my interest in mentoring a U of L student teacher for the 2024/2025 school year, and understand that my school administrator will be contacted to discuss specific placements in a school prior to each respective practicum semester. Submitted requests do not guarantee that a student will be placed with a teacher, but rather are an indication of interest and support. The information you provide will facilitate the assignment of practicum students in the coming school year.For teachers interested in mentoring a PS III student intern, please email edu.fieldexp@uleth.ca and we will forward the DocuSign form to complete. Leave this field blank Submit