STUDENT TEACHER HIGH SCHOOL REQUEST FORM
Thank you for your interest in the Parkway School District.

Minimum GPA must be 3.0 to be considered.

Before filling out this form, please make sure you have all the documentation needed to start the placement process.   We are automatically notified when you submit this form.

Please submit the following in a PDF format to studentteacher@parkwayschools.net.

Placement request with placement details (submitted by university - can come separately and can be in email format)
Student Application (if your university has your student complete for placement)  
Resume
Student's transcripts
Philosophy of Education (1 page only)
3 letters of reference (please submit together vesus one at a time.  Thank you.)
Certification (optional)

Please be sure the student's university email is provided (versus a personal email).

A TB test IS NO LONGER REQUIRED.

A National processed fingerprint must be provided using Parkway's code.   Please email studentteacher@parkwayschools.net for instructions.

Please note these deadlines in order for an application to be considered:
Fall placement (August - December):  APRIL 15
Spring placement (January - May):  NOVEMBER 15
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STUDENT INFORMATION
Student Last Name *
Student First Name *
University/College *
School Requesting *
Student's University/College Email Address *
Additional Comments (optional)
GRADE LEVEL OR SUBJECT REQUESTING
Subject Requesting *
All Physical Education students must be going for PE and Health Certification.
TEACHER'S REQUIREMENTS
Education requirement of the potential cooperating teacher *
Years of experience required of the potential cooperating teacher *
Required
Additional Comments (optional)
PLACEMENT DETAILS
Semester *
Type of Placement *
Required
Starting Date *
MM
/
DD
/
YYYY
Ending Date *
MM
/
DD
/
YYYY
Additional Details
Coordinator Information
Coordinator's Title: *
Coordinator's Name: *
Coordinator's Email Address: *
Coordinator's Phone Number: *
Additional Comments (optional)
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