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Place Holder
OHIO University Lancaster Campus
Pre-Placement Survey

 

Quarter:

Student Name:
 Student ID:
Student Home Address:

What will your teaching license be (include grade levels and subject areas:
Class requiring placement:
Date:
Number of Hours required for placement:

  
Content Areas (if applicable):
 List any other classes you are taking this quarter that require a field placement:

Other specific requirements for placement (ages/grades):

 List all prior OU field placements. Include teacher name, school and course it was for:
Phone:
 Cell:
Email:
  

Best way to reach you:
Home Phone Cell Phone Email

Please fill in the times that you will be availible for placement.
Monday
Tuesday

Wednesday
Thursday
Friday

I would like to work with the following teacher.

Teacher Name:

  
Public School:
  
School Phone:
  

Disclaimer: Requests will only be honored as considered appropriate and when contributing to the diversity of experiences as required by OU and NCATE. Restrictions on placements are considered within the instructor's domain.


 

OHIO UNIVERSITY LANCASTER
1570 GRANVILLE PIKE
LANCASTER, OH 43130-1037
740.654.6711 OR 1.888.44.OHIOU
LANCASTER@OHIO.EDU