Student Teaching Application

Name *

First

Last

Middle Initial *

Maiden/former name(s)

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Home Phone Number *

Cell Phone Number *

Work Phone Number

Drury Email *

Drury ID Number *

Date of Birth *

Additional Information

Select you enrollment status *

Choose the semester you plan to student teach *

Area of Certification Desired *

Elementary Education (Grades 1-6)
Middle School (grades 5-9)
Secondary (grades 9-12 or K-12)

Requested Grade Level Placement *

First Placement Request *

Second Placement Request *

Students should not request, nor will they be placed, in a district or school where relatives attend or work. Please list the district(s) in which you cannot be placed. *

If you are a Drury student athlete, do you plan to compete in your sport during your student teaching semester? *

View Student Teacher Autobiography Example

Upload Your Autobiography *

Upload a professional-looking photo, which will be provided to your cooperating teacher and other district personnel. *

Upload a copy of your Missouri Substitute Certificate. *

Upload a copy of your most recent certification exam (MoCA or Praxis) results, or a copy of your Praxis registration receipt. *

Transcript and Data Release

I authorize the Drury University Registrar to prepare copies of my undergraduate and graduate transcripts to be included in my School of Education and Child Development file. These transcripts will be used in determining my eligibility for student teaching and academic information may be shared with school district personnel, including my cooperating teacher and university supervisor. I also understand that the School of Education and Child Development is required to report annual data to the U.S. Department of Education and Missouri Department of Elementary and Secondary Education in accordance with Title II regulations. Information reported may include, and not be limited to, academic and demographic information (i.e. Social Security Number, standardized test results, gender and ethnicity).

I agree to the transcript data release *

I understand that the School of Education and Child Development is required to report academic and demographic data *