Block Experience / Student Teaching Forms
Spring 2023: 1-6 Block / Midlevel - Secondary Block (English, Mathematics, Science or Social Studies Methods) / SPED Block
Fall 2023: Student Teaching
Meeting: Tuesday,October 4 - 11:00-12:30pm
Location: Suites on Main North - Movie Theater
**If you missed the meeting, contact Mrs. Johnston (jjohnston@pennwest.edu) for information.
*All Applications and Forms for the Block Field Experience are found below. Be sure to READ and complete each form carefully. ALL forms MUST be saved and submitted to Mrs. Johnston (jjohnston@pennwest.edu) by the indicated deadlines. *Please use the File Naming Convention (for each form) indicated in the following example:
Last Name First Name Document Name
Eg. Smith John Block Application
*DO NOT submit any forms until you have attended the BLOCK / STUDENT TEACHER meeting. This meeting takes place ONE year prior to your intended student teaching semester. Students planning to enroll in PreK/K Block should NOT complete forms at this time.
Forms are currently being accepted for students who plan to be on (1-6 / Midlevel / SPED) BLOCK Spring 2023 and/or who plan to Student Teach Fall 2023!
*Please direct questions to Mrs. Johnston (johnston@pennwest.edu), 131 Stevens Hall - Special Education Center.
Complete and submit the following forms by Friday, October 14th:
1. Appropriate Block Application (Section I)
2. ALL Forms in Section II
Section I : BLOCK APPLICATIONS
Section II: FORMS
Confidentiality / Liability Agreement
Field Experience Requirement List
Personal Data / Emergency Contact Form
Program Completion and Teacher Certification Requirements
Teacher Candidate Field Experience Manual Sign-off Form
STUDENT TEACHING APPLICATION
* Student teaching applications and instructions can be found on the Teacher Candidate Resources D2L page. Follow the provided instructions to complete and submit your application. All deadlines MUST met.