University Information
Please complete this survey if you:
1.  are a university with a first-time student teacher/intern placement in the Anchorage School District (ASD) or,
2.  have modified your university’s student teaching/internship requirements since your last placement with us.
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What is the name of your university? *
What is the title of your program? *
Specific length of placement for the student teacher / intern? *
Who is the university contact with the authority to verify that your student teacher has been approved for his/her final field experience? *
Provide name, email and telephone contact information.
ASD requires all universities to provide a local clinical supervisor who serves as the student teacher's main evaluator. *
Please provide name, email and telephone contact information. If unknown please write N/A
Do you need assistance finding a local clinical supervisor? *
Do you need assistance finding a local clinical supervisor? *
Many universities wish to thank host teachers and offer honorariums for their commitment to training student teachers. Sometimes these are small stipends or tuition waivers. What does your university provide to host teachers? *
Please provide any additional information you think we would find helpful.
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