Cooperating Teacher Confirmation Contract

Please provide all the information requested below and submit.
General Information
*Morehead State University must have cooperating teacher social security numbers for submission to the Education Professional Standards Board (EPSB) for a stipend to be processed. If you are not comfortable submitting your social security number through this online format, you may call 606-783-9353 and speak to Kim Terry OR print, complete, and mail this form to Teacher Education Services (address below).
Morehead State University
801 Ginger Hall
Morehead, KY 40351
Please select the degree completed:
Number of years of teaching experience:
Please select school district:
Please enter school name:
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