2016-17 Wartburg College Field Experience Teacher sign up

Please note that items with an asterisk - * - require a response.

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* 1. Wartburg College and the local school districts have established criteria that must be met for a teacher to serve as a supervisor for a field experience student. They include:

1. Possession of an Iowa teaching license
2. Certification in the area teaching
3. Three years of successful teaching experience

By entering your email below, you are verifying you meet these criteria.

Please enter your email address:

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* 2. Please identify the title you prefer:

Dr.

Mr.

Mrs.

Miss

Ms.

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* 3. First name:

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* 4. Last name:

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* 5. Classroom website (If applicable):

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* 6. Where do you teach?

If "Other" please enter below:

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* 7. What level do you primarily teach?

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* 8. Specific grade level(s):

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* 9. Content area(s):

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* 10. Do you co-teach during your school day?

Yes

No