Fall 2024 Mattoon High School Observation Request Form - 
Use this form to request observations at Mattoon High School for Fall 2024. If you are conducting multiple observations at Mattoon High School, you can make up to three requests per form. Anymore requests for Mattoon High School will require the completion of another observation request form. The request form is to be submitted at least 7 days prior to the date of observation. If you are making multiple observation requests, make sure you include the observation date, time period(s) being observed, and the name of the cooperating teacher. If any field is missing, the request will be denied.  

If the form is incomplete or submitted with less than 7 days notice, the request will be denied. Faculty may also deny the request if the observation is not in the age range and licensure area you are seeking. Observations are scheduled on a space-availability basis.  Once you have submitted the form, you need to affirm with your instructor whether the request is approved.  Conducting an observation at Mattoon High School without approval or falsifying placement information may result in disciplinary action.

Prior to conducting your initial observation, you need to pick up a copy of your Criminal Background Check in the Dean's Office (Buzzard 1420) and make sure you have a photo ID. You may not observe without having the Criminal Background Check completed.
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Name *
EIU E-Number *
EIU Email *
EIU Course *
EIU Faculty Instructor *
Requested Subject for Observation (must be consistent with your licensure area) *
Cooperating Teacher *
Observation Date (1) *
MM
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DD
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YYYY
Period and Time *
Observation Date(2) May only use if observing at Mattoon High School
MM
/
DD
/
YYYY
Period and Time
Clear selection
Observation Date(3)  May only use if observing at Mattoon High School
MM
/
DD
/
YYYY
Period and Time
Clear selection
I attest I am observing in a classroom appropriate to my designated licensure area *
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