TEFB 324 Placement Application

Placements are based on section. Requests for mentor teachers will not be considered.

First Name

Last Name

UIN

TAMU Email

Phone

Select section and field day/time: Select section and field day/time:

Select your certification area: Select your certification area:

Other Certification Area

Select your certification program:

Other Certification Program

Select your TAMU campus:

College Station

Galveston

Have you completed a field experience in any other course (e.g. TEFB 322)?

Yes

If you have a relative or child at an area school, list the campus.

Emergency Contact Name

Emergency Contact Phone

Please explain any extenuating circumstances that might affect your placement.

If you are human, leave this field blank.