Teacher Candidate Brochure (TCB)

* = required field

Personal Information

First Name*
Middle Initial
Last Name*
ID #*
Major*
Second Major
Education Minor
Second Minor

Contact Information

Phone Number (ex. 123-456-7890)
E-mail (ex. [email protected])*
EDUC 185 or EDUC 215 Placement Information
School/Company 185/215 Placement*
Grade and Subject 185/215 Placement*
City and State 185/215 Placement*
Methods Placement Information
School/Company Methods Placement*
Grade and Subject Methods Placement*
City and State Methods Placement*
Student Teaching Placement #1 Information
School/Company ST Placement #1*
Grade and Subject ST Placement #1*
City, State ST Placement #1*
Student Teaching Placement #2 Information
School/Company ST Placement #2*
Grade and Subject ST Placement #2*
City, State St Placement #2*
Student Teaching Placement #3 Information
School/Company ST Placement #3
Grade and Subject ST Placement #3
City, State ST Placement #3
Student Teaching Placement #4 Information
School/Company ST Placement #4
Grade and Subject ST Placement #4
City, State ST Placement #4
Other Practicum Information #1
School/Company Other Practicum #1
Grade and Subject Other Practicum #1
City and State Other Practicum #1
Other Practicum Information #2
School/Company Other Practicum #2
Grade and Subject Other Practicum #2
City and State Other Practicum #2

Licensures and Endorsements

Elementary Educators


License (K-6)
Academic Endorsements (K-8)
Special Endorsements (If choosing MS, must pick 2)
Coaching

Secondary Educators (5 - 12)


License (5-12)
Additional endorsements that may be added to a 5-12 license. (If choosing MS, must pick 2)
Coaching

K-12 Educators


License (K-12)
Additional endorsements that may be added to a K-12 license
Coaching
Notes

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