<p>Linfield College Education Department Student Teacher Information for College Supervisor Mentor Teacher Seminar Instructor</p><p>Student Name</p><p>Phone number</p><p>Email address</p><p>Address (if living off campus) LC unit #</p><p>City/state/zip</p><p>This semester’s placement is: *Full-time Part-time Grade level and subject:</p><p>Education Advisor</p><p>Mentor Teacher Name</p><p>Mentor Teacher’s phone Email address</p><p>College Supervisor Name</p><p>College Supervisor’s phone Email address</p><p>Seminar Instructor Name</p><p>Seminar Instructor’s phone Email address</p><p>List other obligations you have besides student teaching (coaching, work, athletics, activities)</p><p>List specific dates and times of known conflicts, (i.e. athletic events, job fairs, a wedding)</p><p>Complete your weekly schedule:</p><p>Time Monday Tuesday Wednesday Thursday Friday *Full-time student teachers complete page 2.</p><p>If you are a full-time student teacher, complete this section:</p><p>Part-time placement grade level and subject</p><p>Mentor teacher College Supervisor</p><p>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? </p><p>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</p>