PARTNERSHIP APPLICATION FOR SPED

Longwood University
Partnership Placement Application For SPED

Please provide your name as you are currently enrolled at Longwood:

Last Name

Middle Initial

First Name

Longwood ID: [Help]

Phone number

1. Are you seeking a SPED 316(classroom management) or a SPED 323 (Reading) placement?

2. Please identify your top two choices among three partnering county sites.*

		Buckingham County
		Cumberland County
		Prince Edward County - **SPED 323 only*

3. If you are applying for SPED 323, is EDUC 299 appearing as completed on your degree audit (signifies entrance into teacher prep)?

		Yes
		No

4. When are you planning on doing your student teaching?

		Spring 2011
		Fall 2011
		Spring 2012
		Fall 2012

Be advised that the GPA requirements for student teaching (at least 2.5 in major & overall) need to be met prior to partnership and that applications for student teaching need to be made a year in advance.

5. Please identify your advisor:

Comments: