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Spadoni College of Education and Social Sciences Cooperating Teacher Information
A copy of your current South Carolina professional teaching license/certificate must be uploaded with this form.
Required fields are noted with a red *.
First Name:
*
Middle Name:
Last Name:
*
School:
*
Student Name:
*
I am serving as a cooperating teacher for a:
*
Select One
Practicum Student
Intern
University Supervisor's Name:
*
Current Grade/Content Area:
*
Previous Grades Taught:
*
Colleges Attended and Degrees Earned:
College/University
*
Degree Earned
*
Certification Areas & Endorsements:
*
Have you completed Mentor Training?:
*
Select One
Yes
No
Yes, but expired
Additional Information:
File Upload
Add your Teaching License/Certificate:
*