PLEASE NOTE: Acceptance of an Offer of Admission to the Faculty of Education indicates your acceptance of the possibility of having to commute daily to and from/or to be temporarily billeted (Sunday to Thursday nights) for practicum placements within Zone 6 (map attached).. The following are taken into consideration when making placements:
Family situation (e.g. dependent children)
Involvement in university sanctioned extra curricular activities
Employment
Health
Other issues described in Section V may also be considered
In making practicum placements, special consideration will be given only to those students submitting the required supporting documentation to the Field Experiences Office by September 19/16. While such circumstances will be considered in making practicum placements, they do not guarantee that all students will be placed locally or within a daily commutable distance.
NOTE: Students who provide incomplete or false information may be required to withdraw from the practicum and reapply for admission to resume their studies in a subsequent year.
Questions may be directed to Diane McKenzie in the Field Experiences Office:
Email: diane.mckenzie@uleth.ca
Phone: 403-329-2448
In person: Office Turcotte Hall, Room 427.
SECTION I: CONTACT INFORMATION
Last Name *
First Name *
U of L ID number *
U of L E-mail Address *
If you do not yet have a U of L email address, indicate the address that you are using at present.
Phone Number *
Please indicate the phone number we should use to contact you should we need to do so. (403-123-4567 format example)
Address *
This is the address that you will reside at while you attend U of L Faculty of Education classes. If you are intending to move to attend the Faculty of Education program, please leave this section blank and provide the new address as soon as you are able.
City
Province
Postal Code
Emergency Contact Information
Emergency Contact Name *
Emergency Contact Phone Number *
Emergency Contact Relationship to You *
SECTION II: PROGRAM INFORMATION
Education Major *
This is the major under which you were admitted into the U of L Education Program.
Education Minor
We will make the assumption that you have not yet completed your minor unless you indicate so below.
Minor Status
I have completed my Minor
SECTION III: PRACTICUM LOCATION AND TRANSPORTATION INFORMATION
We will use the address you provided in Section I when planning Professional Semester I practicum placements. If you have "free" accommodation elsewhere in Zone 6 (or in the Foothills , Calgary or Airdrie area), that you would "prefer" to be considered, please provide that address below.
Please note that providing an alternate address for consideration for Professional Semester I practicum placement purposes, is in no way a guarantee that you will be placed at/near that address.
Preferred Zone 6, Foothills, Calgary or Airdrie PS I practicum placement Address
Preferred Zone 6, Foothills, Calgary or Airdrie PS I practicum placement City
Preferred Zone 6, Foothills, Calgary or Airdrie PS I practicum placement Phone Number if different from Section I.
Vehicle
We depend upon students to "carpool" to practicum schools. Approved driver's are reimbursed a predetermined amount for transporting other students to their practicum school, where it is in excess of 40 km per return trip. The number of approved driver's and distances are determined by U of L administration.
Will you have a dependable vehicle available for conveying yourself (and fellow students) to practicum schools? *
Vehicle Comments
SECTION IV: LEVEL AND PREFERENCE INFORMATION
This section is used for students to provide "preference" information should they have any.
I understand that selecting any of the items in this section will not necessarily be reflected in my Professional Semester I practicum placement. *
Yes
Professional Semester I practicum placement division preference
Professional Semester I students are placed in elementary level classrooms for their practicum.
Note that for the Professional Semester II practicum, we endeavour to place students in classrooms that offer an experience three grades different from that of their Professional Semester I practicum.
Knowing this, please indicate your preferred division for this "first" Professional Semester I practicum.
Division 1st Choice
Prioritize your school "type" preference.
Public
Catholic
Other
Please describe other
Selections might include: reserve; rural; multi-grade; and/or christian.
Computer Skills - Using the selections provided, please indicate the level of your computer/technology skills
Competencies
Professional Semester I students are placed in elementary classrooms for their practicum where possible. Occasionally teachers do not teach all of the Core subjects in a particular grade.
Feel free to list any subjects or areas below that you feel you might be competent to instruct.
Specific subject competencies or skills
SECTION V: ADDITIONAL INFORMATION
The information in this section is used to assist us in accommodating Faculty of Education undergrad students who have dependent children and those who have other situations that might be negatively impacted by practicum placement location.
As noted at the top of this form, if you are hoping to have a situation taken into consideration, the required supporting documentation "must" be provided by September 19/16 (to the Field Experience Office). Again, there are no guarantees that a student will be placed locally or within a commutable distance.
Dependant Family Information
If you check the box indicating that you have a dependent family member, you will need to provide a copy of their Alberta Health Care card.
Dependent Family Member(s)
Yes
Dependent Child Grade and School Information
Please provide the grade and school attended by your dependent child(ren) if applicable.
Marital or Common Law Status
If you are hoping to have your marital or common law relationship taken into consideration, you will need to provide proof of marriage (certificate), or common law status (mortgage, rental agreement, utility bills showing both names). Block out confidential information not required for proof.
Health Considertion
If you have a Health issue requiring specific consideration, (such as that affecting placement location, billet situation), please indicate so below.
You will need to provide a signed doctor’s note on letterhead detailing the requirement with regard to practicum placement.
I have a Health situation I wish to have taken into consideration
Yes
University Sanctioned Activities
Current participation in "university sanctioned" extra-curricular activities may be taken into consideration for placement purposes. This section does not refer to intramural or non-university activities.
Students must provide supporting documentation from their U of L coach or director etc., which includes dates of season/event for consideration.
Please see Appendix K 'Attendance Policy' of the Student Handbook.
I participate in the following Univerity Sanctioned Activity
Basketball
Chamber Band
Dance
Drama Production
Hockey
Jazz Ensemble
Judo
Rugby
Soccer
Swimming
Track & Field
University Singers
Vox Musica
Wind Orchestra
Please provide specific comments in the box below.
University Sanctioned Activity Specifics (dates/times)
Schedules/specifics will need to be reflective of this Professional Semester I semester. The PS I practicum usually begins around the start of the second week in November and runs until mid-December.
Employment
Employment may be taken into consideration for placement purposes.
Students must provide a letter of employment (on letterhead and signed by their supervisor) which includes the business name, supervisor name and phone number.
I will be employed during the PS I practicum
Yes
The name of the business I am/will be employed with is
Indicate the name of the business you are or will be employed with.
Schools where you have relatives working or attending
Please indicate where applicable, any relatives working or attending Zone 6, Foothills and Calgary area schools. (Include the school name(s) and what type of relationship it is (i.e. brother, aunt).
General Comments and Information
You are welcome to indicate any other information you think might be relevant for placement purposes.
SECTION VI: PRIOR EDUCATION INFORMATION
High School Graduation Information
The high school I graduated from was *
Please indicate the school name as well as the city/town and province it is in.
The year I graduated from high school was *
EDUC 2500 Pre-requisite Information
EDUC 2500 School Name
Indicate the name of the EDUC 2500 school that you were placed at.
EDUC 2500 Teacher Associate/Grade
Indicate the name(s) of your EDUC 2500 Teacher Associate and the grade level of the class.
Pre-Education Waiver Information
I received approval to Waive EDUC 2500 from Student Program Services
Yes
Alternate Pre-Education Placement School
Indicate the name of your Alternate Pre-Education placement school (include city/town).
Alternate Pre-Education Placement Teacher Associate/Grade
Indicate the name(s) of your Alternate Pre-Ed Teacher Associate and the grade level of the class.
Professional Semester II
Please indicate the year you are planning to take your Professional Semester II.
Note that only After-Degree applicants, or students who have "completed 25 or more courses" (75 credit hours), prior to beginning Professional Semester I are eligible to take Professional Semester II in the Spring of 2017.
Professional Semester II Plan
This is for informational purposes. Eligible Professional Semester II students will be contacted prior to the Spring 2017 semester to determine their interest at that time.
Form Compliance Statement *
By selecting this, I am confirming that I have read and understood this Professional Semester I Student Information form and certify that all of the information that I have provided is complete and accurate. Where I have indicated a request for consideration on this form, I understand that if I do not provide the required documentation, consideration will not be made.
Leave this field blank