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:

* Please enter school name: