APPLICATION TO STUDENT TEACHING ASSIGNMENT POLICY STUDIES IN LANGUAGE AND CROSS CULTURAL EDUCATION Multiple Subject Bilingual Cross-Cultural, Language and Academic Development (BCLAD) SAN DIEGO STATE UNIVERSITY FIRST SEMESTER and SECOND SEMESTER OF STUDENT TEACHING

Date: _____________

Please TYPE all pages of this form. The Autobiographical and Goals and Philosophy sketchs should be a maximum of 1 1/2
pages Typewritten, double-spaced. Submit original and four duplicates of this completed 3-page form. Staple as sets.

NAME____________________________ADDRESS____________________________________

CITY_____________________STATE______ZIP CODE_______

MAJOR___________________MINOR_____________________

PHONE (___________)_________________________________

FROM WHICH ELEMENTARY SCHOOL DID YOU GRADUATE?

School ___________________City _____________State________

Student teaching assignment will be made by the director of the BCLAD Multiple Subject Program. Placements cannot be made
without these forms (make an additional copy for your own files).

Keep the PLC Department office informed of any changes in address, last name or any circumstances which would interfere with
your fulfilling a student teaching assignment. Phone: 594-5155. (If the student teaching is not fulfilled, you will receive a NC.)

FORMS 1-3
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Courses in your Major other than Liberal Studies Option III. List below all the courses already completed in your
major (last three years).

______________________________________________________________________________________

______________________________________________________________________________________
*For Liberal Studies major, please attach your completed Emphasis in Education Waiver Major Form (there is no
need to type in your Liberal Studies courses.

FORMS 2-3
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Do not duplicate this page

Instructions: AUTOBIOGRAPHY

Please write a brief autobiography around the following three major topics. This information will help the school administrators,
master teachers, and the University supervisor to become better acquainted with you.

1. Personal information relative to your birthplace, elementary schooling, interests, hobbies, etc.

2. Experiences you have had with elementary school children that have helped you gain insight into childhood growth and

development and into school procedures and operations.

3. A brief statement indicating the reasons why you are interested in teaching and why you have the potential for becoming an

excellent teacher.

*********************************** Instructions: STATEMENT OF GOALS AND PHILOSOPHY

A statement of professional goals and philosophy is required of all students wishing to enter the credential program. Please

write a minimum of 350 words covering such areas as your professional development as an educator, the kind of skills you feel are

necessary to be an effective bilingual teacher and your perceived type of support needed to accomplish the above. You may also

wish to cover the importance of the language and culture children bring to school and its role in any further academic development.

FORMS 3-3

8-19-99