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PLU Student Teaching Application
Name (Last, First)
*
Pronouns
PLU Email
*
Phone #
*
PLU Program
*
ARC
BAE
MAE
Which endorsement?
*
SPED
ELL
Reading
What district/school is your current placement?
*
Which teacher?
*
Are you elementary or secondary?
*
Elementary
Secondary
What subject is your endorsement?
*
City/Town where you will reside during student teaching?
*
District request 1st, 2nd, 3rd choice (OK to leave blank if you don't have specific preferences or requests)
District Choice 1
District Choice 2
District Choice 3
Grade level 1st, 2nd, 3rd choice
Grade level Choice 1
Grade level Choice 2
Grade level Choice 3
Are you elementary or secondary?
Elementary
Secondary
What subject is your endorsement?
Are you a student athlete at PLU?
*
Yes
No
Do you have a close family member who is a teacher in a local school?
*
Yes
No
Name of school ______________?
Any other pertinent information I should know of when making your placement?
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