Student Teacher Information For

Linfield College Education Department Student Teacher Information for College Supervisor Mentor Teacher Seminar Instructor

Student Name

Phone number

Email address

Address (if living off campus) LC unit #

City/state/zip

This semester’s placement is: *Full-time Part-time Grade level and subject:

Education Advisor

Mentor Teacher Name

Mentor Teacher’s phone Email address

College Supervisor Name

College Supervisor’s phone Email address

Seminar Instructor Name

Seminar Instructor’s phone Email address

List other obligations you have besides student teaching (coaching, work, athletics, activities)

List specific dates and times of known conflicts, (i.e. athletic events, job fairs, a wedding)

Complete your weekly schedule:

Time Monday Tuesday Wednesday Thursday Friday *Full-time student teachers complete page 2.

If you are a full-time student teacher, complete this section:

Part-time placement grade level and subject

Mentor teacher College Supervisor

School Reflect on your part-time experience. What are your current strengths as a teacher? What aspects of teaching would you like to improve on during full-time student teaching?

900 SE Baker Street  McMinnville, Oregon 97128-6894  1.503.883.2236  [email protected] winfiles/edn/student teaching/work sample doc/student teacher information/082012 white