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.

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