TEFB 406 Placement Application Placements are based on section. Requests for mentor teachers will not be considered. Name* First Last TAMU Email* UIN*Phone*Select section and field day/time:*Select501 - Field observations Mondays 8-12502 - Field observations Mondays 12-4503 - Field observations Tuesdays 8-12504 - Field observations Tuesdays 12-4505 - Field observations Wednesdays 8-12506 - Field observations Wednesdays 12-4507 - Field observations Thursdays 8-12508 - Field observations Thursdays 12-4Select your certification area:*SelectScience - ChemistryScience - CompositeScience - Life (Biology)Science - PhysicalOtherOther Certification Area*Select your certification program:*SelectAggieTEACHSTEM/University StudiesAre you enrolled in any of the following courses for Fall 2017?*TEFB 322TEFB 324No, I am not enrolled in either course.Previous Field ExperienceHave you completed a field experience in any other course (ie. TEFB 322/323/324, SCEN 201, etc.)?*YesNoIndicate all campuses where you have observed:*A&M Consolidated High SchoolBryan High SchoolCollege Station High SchoolCollege View High SchoolRudder High SchoolTimber AcademyA&M Consolidated Middle SchoolArthur Davila Middle SchoolCollege Station Middle SchoolJane Long Middle SchoolSam Rayburn Middle SchoolStephen F Austin Middle SchoolOtherOther Campus*List all teachers observed:*Last names onlyList all subjects observed:*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. This iframe contains the logic required to handle Ajax powered Gravity Forms.