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:*
Select your certification area:*
Other Certification Area*
Select your certification program:*
Are you enrolled in any of the following courses for Fall 2019?*
- TEFB 322
- TEFB 324
- No, I am not enrolled in either course.
Previous Field Experience
Have you completed a field experience in any other course (ie. TEFB 322/323/324, SCEN 201, etc.)?*
- Yes
- No
Indicate all campuses where you have observed:*
Other Campus*
List all teachers observed:*
Last names only
List 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.

Previous Field Experience