EDUC Internship Application – Office of the Registrar

Note: Applicants for EDUC 450 & 451 MUST complete ALL methods and core courses to qualify. Maximum of 2 pending support/general courses will qualify for EDUC 450 & 451. Applicants for EDUC 350 & 351 must have completed all methods and at least 80% of core courses to qualify.

The applicant should receive ADVISING from Advisor prior to applying.

The internship has a $200 FEE.

Name

First

Middle

Last

Do you have a valid teaching license?

Yes
No

Student ID No.

Gender

Male
Female

GU Email

Personal Email

Cellphone #

Telephone #

Home Address

Address Line 1

City

State / Province / Region

Country

Applying For:

At which school will you carry out the field experience?

School Address

Address Line 1

City

State / Province / Region

Country

Signature field out

Class/Grade Level

Principal Name

(Name of Principal)

Principal's Email

Principal's Cellphone #

(Principal's Cellphone #)

Management

Please Upload a Clear Copy of Your Valid Teacher's License

Drag & Drop Files, Choose Files to Upload You can upload up to 2 files.

Attach a copy of current teaching license; incomplete applications will not be processed.

Signature

Clear Signature