TEFB 407 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 your certification area:

Other Certification Area

Select your certification program:

Have you completed a field experience in any other course (e.g. TEFB 324)?

Yes

Select any/all campuses to which you have been previously assigned.

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.

If you are human, leave this field blank.