Placement Request for Field-Based Assignments and/or Internships

This form is to be used by students who need assistance from the Office of Field Engagement to secure a placement for:

  1. Field-based assignments in certain courses, such as EDC 210, EDC 315, EDC 325, EDC 345, EDC 361, EDC 362, EDC 415, EDC 795A/B/C, EDS 390, EDS 410, EDS 420, EDS 424, EDS 429, EDC 526C/527CE, EDS 810, EDS 824, EDS 829, EDS 860, EDU 790, EDU 801, EDU 990E, EEC 105, EEC 205, EEC 250, or EEC 308/808 . *This is not the form to submit if you are seeking a pre-practicum or practicum placement*
  2. Internships for 4+1 Secondary Specialist students (spring semester following practicum only)
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Please do not add the leading "S"

Phone

NOTE: You must be formally and officially admitted to this program as verified through Navigator

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All applicants must be currently enrolled in a degree program or a license only pathway at SSU that matched the desired license in order to be approved.

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Field-Based Assignments Associated with Specific Courses

This is for students enrolled in EDC 210, EDC 315, EDC 325, EDC 345, EDC 361, EDC 362, EDC 415, EDC 795A/B/C, EDS 390, EDS 410, EDS 420, EDS 424, EDS 429, EDC 526C/527CE, EDS 810, EDS 824, EDS 829, EDS 860, EDU 790, EDU 801, EDU 990E, EEC 105, EEC 205, EEC 250, or EEC 308/808 and need a placement to complete required field-based assignments.

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The professor of the corresponding course

Hours required for mini-placement

Requirements or assignments related to placement for field-based assignments (i.e. what are you supposed to do or observe in the placement?)

Please tell us where you would be interested in being placed for your field-based assignment (check all that apply)

Internship Placement Request

This is only for 4+1 Secondary Specialist students who are required to complete an internship during the spring term immediately following their practicum experience.

Please tell us where you would be interested in being placed for your internship (check all that apply)

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Check all that apply:

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