PRACTICUM TEACHING SITE APPROVAL FORM

The prospective teacher is responsible for finding his/her own practicum-teaching site: This site can
be the prospective teachers current place of employment. If the prospective teacher is not currently
working in a school he/she must find an appropriate site/school that will allow them to volunteer.
Prospective teacher’s sites can be public/private schools.
This form must be completed, submitted, and approved no later than four weeks prior to the start of
teaching practice I. This form should be submitted to the ECE & ETED.

Name of trainee teacher: _______________________________________________________

Name and Address of School: _______________________________________________________

Mentor Teacher’s Name: _______________________________________________________

Mentor Signature: _______________________________________________________

Phone Number of School: _______________________________________________________

Principal/Head Teacher Name: _______________________________________________________

Signature & Stamp of Principle/Head Teacher