MAT INTERNSHIP APPLICATION INSTRUCTIONS

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Please carefully read the following before submitting your Internship Application:

Your internship application and progress in the teacher education program will be reviewed by a Program Area Competency Review Committee to determine if you are prepared to begin the Professional Stage of the

program.

Considerations for internship placements

Ensuring that each teacher candidate experiences diversity among field placements while at Winthrop Placing each candidate with a qualified mentor teacher believed to be a good match for the candidate Placing candidates primarily in Partnership Network Schools within the following South Carolina school

districts (unless extenuating circumstances arise): Cherokee, Chester, Clover, Fairfield, Fort Mill, Lancaster, Rock Hill, Union and York (for a list of schools visit

http://www2.winthrop.edu/netscope/partner_sites.htm)

Internship placements are based on many factors, including those listed above. You are required to complete your internship at a different school with a different mentor teacher. Due to these factors we are not able to accept requests for specific schools or teachers. However, if you have circumstances that impact your school placement, please attach a detailed explanation of your situation.

Important PRAXIS II information

As an MAT student, you must pass the Specialty Area Exams required for your major prior to starting your internship. The last possible test date available for spring 2011 MAT interns is November 13, 2010. You must register by October 14 at www.ets.org/praxis. Please review this link to determine which Specialty Area Exams are required for your major in South Carolina:

http://www.scteachers.org/cert/Certpdf/required_examinations.pdf

Passing scores on the PLT (Principles of Learning and Teaching) are not required to begin your internship. However, passing scores on the PLT and all Specialty Area Exams are required for South Carolina

certification. Students majoring in areas leading to K-12 certification may take either the grades K-6 or 7-12 PLT test.

Please list Winthrop University (5910) and the SC Dept. of Education (8108) as score recipients. Please include your social security number when registering as this is the only identifying number used by the SC Dept. of Education to match your scores with your certification file. If you register online, you will receive your scores electronically and will only have access to them for a certain period of time specified by ETS. Please save and print your scores as soon as you receive them.

*Internship placement letters will be mailed to your permanent address in December 2010.*

After you have completed the application please check the following:

Have you signed and dated the application in all appropriate places? Have you included two copies of your updated autobiography? Have you answered all of the questions on the application?

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Please return to Student Academic Services,144 Withers, by Thursday, October 7, 2010.

Name: Student ID:

Last First Middle (not Social Security #)

Local Address: Phone No.: ( )

City State Zip Code

Permanent Address: Phone No.: ( )

City State Zip Code

Subject Area: High School Attended: Elementary School Attended: Middle School Attended: Advisor:

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Students majoring in areas that lead to K-12 certification (art, music, physical education and Spanish) please check your internship preference:

_____ Elementary School _____ Middle School _____ High School

Students majoring in areas that lead to secondary certification will be placed in grades 9-12, most likely at a high school.

Please list your previous/current field-based experiences:

Winthrop Course School/District Grade/Age Level

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Although you submitted an autobiography with your field experience application, please update your autobiography for the internship application.

Your updated autobiography should include: 1) facts about yourself.

2) your experiences working with children and youth, including your fall field experience. 3) who or what influenced you to become a teacher.

4) your beliefs about education.

Please include your name and revision date on your autobiography. This document should be typed, double-spaced, and professional. Your autobiography will be forwarded to your prospective mentor teacher(s) and will serve as a first impression of you.

I authorize the Dean of the College of Education and the Director of Student Academic Services to provide this information to school district personnel involved with internship placements.

Student Signature Date

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In order to create more varied experiences, a candidate nay not be assigned to an elementary, middle or high school that he/she attended.

A candidate may not be assigned to a mentor teacher who is a relative or close family friend. A candidate may not be assigned to a school where the principal is a family member.

A candidate may not be assigned to a school that his/her children attend.

South Carolina school districts possibly considered for placements include Cherokee, Chester, Clover, Fairfield, Fort Mill, Lancaster, Rock Hill, Union and York.

Please list below within these districts teachers who are relatives or close family friends, principals who are family members or public schools that your children attend:

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The information furnished below is requested in conjunction with your application for internship and will be used only in a manner consistent with that purpose.

1. Have you ever been convicted of, or pled guilty or no contest to,

a criminal charge, other than a minor traffic offense? NO YES 2. Have you ever been suspended, expelled, asked to withdraw,

or placed on probation for disciplinary purposes by Winthrop NO YES University or any other institution of higher learning?

3. Have you ever admitted to or been found guilty of academic

misconduct? For purposes of this inquiry, academic misconduct NO YES includes, but is not limited to, any act of dishonesty such as

cheating or plagiarism.

*If the answer to any of the above is yes, please provide a full and complete written explanation.*

*If at any time in the future, prior to completion of the Teacher Education Program, the above information changes, or you learn that the above information is not accurate, you must notify the Director of Student Academic Services immediately.

By signing below, I verify that all of the information contained in this application is true and accurate, to the best of my knowledge, and I agree to report any changes in the above information as they occur or come to my attention.

Student Signature Date

If you have ever completed any type of pre-trial intervention program and believe you have had your arrest record expunged, it is critically important you verify that your record has in fact been expunged through South Carolina Law Enforcement Division (SLED) or the law enforcement office in the state where the arrest occurred; otherwise the arrest may still appear on the criminal record report required for state certification.

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Name (Last, First, Middle)

1. I have been admitted into the Winthrop University Teacher Education Program and have maintained the required GPA of 3.0.

Yes No

2. I understand that I am discouraged from taking a course during my internship semester. If this is absolutely necessary, I understand that I can take only one course that must start no earlier than 5:00 p.m. and in no way interfere with my internship.

Yes No

3. I understand that I must have completed all pedagogical courses, all required prerequisites and no fewer than 9 semester hours of content prior to the internship. A course in

methodology specific to the content area must be included.

Yes No

4. I understand that transportation to and from the internship site as well as housing is my responsibility during the internship.

Yes No

5. I understand that I must have satisfactory midterm and final field experience evaluations to successfully complete my internship.

Yes No

6. I understand that I must be recommended by members of my major’s Competency Review Committee in order to advance to the Professional Stage of Winthrop’s Conceptual

Framework.

Yes No

7. I understand that if I have a grievance about a placement that it must be submitted in writing

to the Director of Student Academic Services two weeks before my internship begins.

Yes No

8. I understand that I will adhere to professional standards in conduct, dress and demeanor, or I will be removed from my internship.

Yes No

9. I understand that if I am tardy or must leave early from my internship I must make up one full day.

Yes No

10. I understand that I am expected to turn in my lesson plans according to the host school and university policy. If I am late more than once, my internship may be terminated.

Yes No

7. I understand that I must pass the PRAXIS II Specialty Area exam(s) prior to the internship. Yes No

8. I understand that South Carolina certification is separate from completion of the Winthrop program and is dependent on passing scores on all parts of the PRAXIS II exams.

Yes No

Student Signature Date

*If the answer to any of the above is no, please attach an explanation.*

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I have verified the above information, reviewed the student’s overall performance to date in the Teacher Education Program, and recommend that the student be allowed to participate in the Pre-Professional Stage Competency Review.