Submit application for admission form.. Submit University Clearance Form Finalized week of Student Teacher Clinical Seminar.. Submit a Student Arkansas Education Association S-AEA appl
Trang 1University of Arkansas at Pine Bluf Admission to the Professional Semester
Student Teaching
Teacher Candidate: _Student ID # Date:
_
1 Submit application for admission form
2 Submit a copy of Approved Degree Plan (Approved by
Advisors) The Degree Plan must contain the signature of the
advisor(s), chairperson and Dean of the School of Education
(where required).
3 Submit University Clearance Form (Finalized week of
Student Teacher Clinical Seminar).
4 Submit a Student Arkansas Education Association (S-AEA)
application form beginning the semester student teaching is to
be completed (fall or spring) or show that he/she possess
proof of $100,000 liability insurance policy.
5 Submit a letter of recommendation from advisor or
department chairperson.
6 Provide an official up-to-date transcript of all college
courses including transfer courses from other colleges or
universities The transcript must reflect a Cumulative Grade
Point Average of 2.70 or above
7 Attach an original copy of all test scores:
o Act Score 21.25 and a Score of 7 or above in Writing
o Praxis II: Content Knowledge/Subject Assessment
o Principles of Learning and Teaching/Pedagogy
o Special Education Majors do not take PLT
o Special Education Core Knowledge and Applications (5354)
o Fundamental Subjects: Content Knowledge (5511)On-Screen Scientific Calculator provided).
o For candidates starting a program beginning fall
2017, this license requires a reading test-Foundations of Reading More information about this test is available on the Arkansas Division of
Elementary and Secondary Education web page.
o Elementary K-6 th Grades Majors have to take the following CK;
o Elementary Education Multiple Subtests (5001)-If you
Trang 2plan to take all tests during one (1) setting (5001):
o Elementary Reading & Lang Arts Subtest (5002)
o Elementary Mathematics Subtest (5003)
o Elementary Social Studies Subtest (5004)
o Elementary Science Subtest (5005)
o For candidates starting a program beginning fall 2017, this license requires a reading test-Foundations of Reading More information about this test is available on the Arkansas Division of Elementary and Secondary Education web page.
o Foundations of Reading if enrolled fall’17 going forward.
STUDENT TEACHERS MUST ATTAIN PASSING SCORES ON ALL
TESTS PRIOR TO THE START OF STUDENT TEACHING.
8 Submit proof of a recent negative TB Skin Test (No older than
3 months)
9 Provide a Doctor Statement (a complete Physical
Examination).
10.Obtain the UAPB Nurses’ signature on the Campus Clearance
Form prior to the start of the Professional Semester.
11.Submit proof of Authorization For Release of Confidential
Information Contained within the Arkansas Child Maltreatment
Central Registry
12.Submit proof of Individual Record Check Form, Background
Check Consent Form and Electronic Finger Printing.
13.IDEAS Course Certificates:
o Child Maltreatment (2hrs.);
o Gatekeepers: Youth Suicide Prevention Awareness
(3hrs);
o Parental Involvement (2hrs.)-Parental Involvement –
students will need to take at least 2 separate courses in
order to equal the two (2hrs) needed;
o Dyslexia Awareness (1hrs).
o The directions for ideasmyarkansaspbs.org: Go to
ideasmyarkansaspbs.org If that website does not work,
type it in google and click on it from there Click on
create a new account and sign up using the correct
spelling of your name that you used when you signed
up for fingerprinting When asked to choose an
organization, click on University Preparatory Program
and then click on UAPB It should let you in To get to
the courses, click find learning at the top of the website
Trang 3and then click on courses Type in the above mentioned
name of the courses you have to take and enroll in
them.
14.Student teachers must show proof that he/she has exited
University College and must have been admitted to the School
of Education prior to submission of this application.
University of Arkansas at Pine Bluff
Pine Bluff, AR 71601 Application for Admission to Student Teaching (Please Type) (Do Not Fold)
Date: _
I, , hereby apply for permission to register for
Student Teaching for the _Semester of the academic year 20 .
My major is .
I understand that the Admission, Retention and Exit Committee has the authority to deny
my admission or withdraw me from student teaching, if I do not attain or maintain the required standard for admission and continuance.
Signature
01 Name: _
(Last) (First) (Middle or Maiden Name)
02 Gender: _ Social Security Number: _
03 If your are a Music Major, indicate if you are vocal or instrumental:
04 Are you being certified K-12? If so, what are the areas or levels in which you
are seeking certification? ( ) K-6th Grades -Elementary Education
Trang 4( ) Middle Level (4 th -8 th Grade) - Science and Mathematics
( ) Middle Level (4 th -8 th Grade) - Science and Social Studies
( ) Middle Level (4 th -8 th Grade) - Mathematics and Social Studies
( ) Middle Level (4 th -8 th Grade) – Language Arts and Social Studies
( ) Middle Level (4 th -8 th Grade) - Language Arts and Mathematics
( ) Middle Level (4 th -8 th Grade) - Language Arts and Science
( ) Middle Level (4 th -8 th Grade) - Language Arts, Math, Science and Social Studies ( ) Secondary Grades (7 th - 12 th Grades) Major Area: ( ) K-12th Grades (K-12 th Grades) Major Area:
Degree Plan Approval Date: (Attach Approved Degree Plan to Application)
05 Praxis Exam Scores
Art K-12 Test Code: #5134 Cont & Analysis
Passing Score: 158 PLT 157
Business Technology Test Code: #5101
Business Education : Content Knowledge Passing Score: 154
Elementary Education K-6 Test Codes are listed after each subtest: Elementary Education Multi Subject: 5001 Reading/Lang/ Arts #5002 Passing Score 157
Mathematics #5003
Passing Score 157
Social Studies #5004
Passing Score 155
Science #5005
Passing Score 159
PLT 160 English Education Test Code: # 5039
English Lang, Lit &Comp: Content & Analysis Passing Score: 168
PLT 157
Family & Consumer Science Test Code: #5122 Family and Consumer Science CK: 153 PLT 157 Middle Level Education 4-8 Must have 2 of the Subject
Areas Passed:
Middle School Language Arts #5047 Passing Score:
164 Middle School Math #5169 Passing Score: 165 Middle School Science
#5442
PLT 160
Trang 5Passing Score: 147 Middle School Social Studies # 5089 Passing Score: 149 Agri Science Technology #5701 CK 147
PLT 157
Biology/Life Science #5235 CK 142
Physical Science: Chemistry # 5245
or Physics #5265
Chemistry CK: 150 or Physics CK: 135
Content Knowledge #5161 CK 160
Music Instrumental & Vocal Test Code #
Physical Education, Wellness, & Leisure
PLT 157 Health & Physical Ed Test Code # 5857 CK 144
Physical Ed: Content & Design/Coaching
Test Code # 5095
C & D/Coach 169
Social Studies
Test Code #: 5086
Cont & Interp 153
PLT 157
06 Permanent Home Address: _
_
Local Address:
_
Telephone Number:
Trang 6(Permanent) (Local)
07 Is Student Teaching the last course you need to complete your degree
requirements?
Yes _
No *Please list course(s) needed.
_ _
_ _
_ _
If for any reason I cancel or postpone my student teaching during the semester stated on this application, I agree to submit a written statement to the Chairperson of the Admission, Retention and Exit Committee before the end of the semester in which my application was submitted and the statement will become a part of my permanent student teaching file I understand that when I do elect to do my student teaching, I must reapply at the
appropriate sign-up period.
_ _
Student’s Signature Date
_ _
Advisor’s Signature Date
_ _
Academic Advisor Secondary Education Major Da
Trang 7University of Arkansas at Pine Bluff
School of Education TO: DEPARTMENT CHAIRPERSON OR ADVISOR
_ Date:
Department Chairperson/Advisor
Student: has made application for enrollment in Directed Teaching Your candid opinion of the applicant in the following areas is desired Will you please rate the applicant on the form below and return it to the School of Education,
Dawson Hicks Hall? Check each item under one of the rating columns.
Recommendation from the Chairperson/Advisor
to observe
Weak-needs improvement Satisfactory acceptable
Strong-Highly Competent
01 Conscientious desire to Teach
02 Ability to work hard at task upon
completions
03 Willingness to work diligently
04 Ability to get along with people
05 Desire to work with people
06 Warm feeling for young people
07 Physical Health
08 Mental Health
09 Pleasing manner, appearance,
habits and conduct
10 Sufficient maturity to take
complete charge of a group of pupils
11 Leadership qualities
12 Communicative skills
13 Mastery of subject manner
14 Initiative
15 Resourcefulness
16 Ethical character
17 Open mindedness
18 Responsibility and reliability