PROFESSIONAL SEMESTER I STUDENT INFORMATION FORM - FALL 2015

PLEASE NOTE: Acceptance of an Offer of Admission to the Faculty of Education indicates your acceptance of the possibility of having to commute and/or be temporarily billeted for practicum placements within Zone 6 (map attached).. The following are taken into consideration when making placements:

Family situation (e.g. dependent children)
Involvement in university sanctioned extra curricular activities
Employment
Health
Other issues described in Section V may also be considered

In making practicum placements, special consideration will be given only to those students submitting the required supporting documentation to the Field Experiences Office by September 25/15. While such circumstances will be considered in making practicum placements, they do not guarantee that all students will be placed locally or within a daily commutable distance.

NOTE: Students who provide incomplete or false information may be required to withdraw from the practicum and reapply for admission to resume their studies in a subsequent year.

Questions may be directed to Diane McKenzie in the Field Experiences Office:

Email: diane.mckenzie@uleth.ca

Phone: 403-329-2448

In person: Office Turcotte Hall, Room 427.

SECTION I: CONTACT INFORMATION

Last Name *

First Name *

U of L ID number *

U of L E-mail Address *

If you do not yet have a U of L email address, indicate the address that you are using at present.

Address

This is the address that you will reside at while you attend U of L Faculty of Education classes. If you are intending to move to attend the Faculty of Education program, please leave this section blank and provide the new address as soon as you are able.

City

Province

Postal Code

Contact Phone Number *

123-456-7891 (format example)

Cell Phone

Emergency Contact Name *

Emergency Contact Phone Number *

Emergency Contact Relationship to You *

SECTION II: PROGRAM INFORMATION

Education Major *

Education Minor

We will make the assumption that you have not yet completed your minor unless you indicate so below.

Minor Status

I have completed my Minor

SECTION III: PRACTICUM LOCATION AND TRANSPORTATION INFORMATION

We will use the address you provided in Section I when planning Professional Semester I practicum placements. If you have "free" accommodation elsewhere in Zone 6 (or in the Foothills , Calgary or Airdrie area), that you would "prefer" to be considered, please provide that address below.

Please note that providing an alternate address for consideration for Professional Semester I practicum placement purposes, is in no way a guarantee that you will be placed at/near that address.

Preferred Zone 6, Foothills, Calgary or Airdrie PS I practicum placement Address

Preferred Zone 6, Foothills, Calgary or Airdrie PS I practicum placement City

Preferred Zone 6, Foothills, Calgary or Airdrie PS I practicum placement Postal Code

Preferred Zone 6, Foothills, Calgary or Airdrie PS I practicum placement Phone Number

Indicate only if you have not provided a cell phone number above.

Vehicle

We depend upon students to "carpool" to practicum schools. Approved driver's are reimbursed a predetermined amount for transporting other students to their practicum school, where it is in excess of 40 km per return trip. The number of approved driver's and distances are determined by U of L administration.

Will you have a dependable vehicle available for conveying yourself (and fellow students) to practicum schools? *

Yes

Vehicle Comments

If you share a vehicle, or have a situation that does not fit into the "Yes or No" selection, please feel free to provide details here.

SECTION IV: LEVEL AND PREFERENCE INFORMATION

This section is used for students to provide "preference" information should they have any.

I understand that selecting any of the items in this section will not necessarily be reflected in my Professional Semester I practicum placement. *

Yes

Professional Semester I practicum placement division preference

Professional Semester I students are placed in elementary level classrooms for their practicum. Note that for the Professional Semester II practicum, we endeavour to place students in classrooms that offer an experience three grades different from that of their Professional Semester I practicum. Knowing this, please indicate your preferred division for this "first" Professional Semester I practicum.

Division 1st Choice

Prioritize your school "type" preference.

Public

Catholic

Other

1st

2nd

3rd

Please describe other

Selections might include: reserve; rural; multi-grade; and/or christian.

Computer Skills - Using the selections provided, please indicate the level of your computer/technology skills

Beginner

Moderate

Extensive

Competencies

Professional Semester I students are placed in elementary classrooms for their practicum where possible. Occasionally teachers do not teach all of the Core subjects in a particular grade. Feel free to list any subjects or areas below that you feel you might be competent to instruct.

Specific subject competencies or skills

SECTION VI: PRIOR SCHOOL INFORMATION

The high school I graduated from was *

Please indicate the school name as well as the city/town and province it is in.

The year I graduated from high school was *

Ed 2500 School

Indicate the name of the school you were placed at for your Education 2500 placement.

Ed 2500 Teacher Associate/Grade

Indicate the name of your Ed 2500 Teacher Associate and the grade level of the class.

Waived Ed 2500

I was approved to have Ed 2500 Waived.

Alternate Pre-Ed Placement School

If you completed a Pre-Ed placement with another university or college, please indicate the name of the school where that placement was.

Professional Semester II

Please indicate the year you are planning to take your Professional Semester II. Note that only After-Degree applicants, or students who have "completed 25 or more courses" (75 credit hours), prior to beginning Professional Semester I are eligible to take Professional Semester II in the Spring of 2016.

Professional Semester II Plan

Spring 2016

Spring 2017

This is for informational purposes. Eligible Professional Semester II students will be contacted prior to the Spring 2016 semester to determine their interest at that time.

Form Compliance Statement *

By selecting this, I am confirming that I have read and understood this Professional Semester I Student Information form and certify that all of the information that I have provided is complete and accurate. Where I have indicated a request for consideration on this form, I understand that if I do not provide the required documentation, consideration will not be made.

Leave this field blank