__________
_______________________________________________________________________________________________
Dr. Bruce Law Pamela Bylsma Tammy Prentiss Domenico Maniscalco Bill Eagan Superintendent Assistant Superintendent Assistant Superintendent Chief Human Chief Financial
of Schools for Academics for Student Services Resources Officer Officer
Administration A. Superintendent
1. Student Teacher University Agreement Template
TO: Board of Education FROM: Dr. Bruce Law
Superintendent of Schools DATE: July 30 2015
RE: Student Teacher University Agreement Template
To earn a teaching license, students must successfully complete what is known as “student teaching.” Student teachers gradually take over instruction in real classes under the supervision of cooperating teachers. In District 86, the process of allowing student teachers is controlled by department chairs and building administration to ensure that there are not too many student teachers in our buildings and that the student teachers we do have possess the skills needed to provide our students an appropriate level of instruction.
Each university that wants to place a student teacher in District 86 sends us an agreement, but we prefer using an agreement approved by the Board as the basis for all the agreements we have with universities for placing student teachers. Accordingly, attached below this memo is an agreement we would like to use as a boilerplate agreement with any university with a student teacher to place in District 86. Upon approval by the Board, Administration would enter into agreements with universities provided those agreements do not differ materially from the one the Board approved.
Suggested Motion: Review the Template
Recommended: Informational
AGREEMENT
FOR CLINICAL/STUDENT TEACHING EXPERIENCE
THIS AGREEMENT is entered into by and between _____________ College/University (hereinafter the
“University”) and the Board of Education of Hinsdale Township High School District No. 86 (hereinafter the “District”) (collectively the “Parties”).
1. Definitions. For purposes of this Agreement, the following definitions apply:
“Candidate” means a college or graduate-level student whose college or university has entered into an agreement with the District providing for the student’s completion of his or her State Board of Education-approved clinical experience or student teaching experience at the District.
“Placement” means the relevant, supervised clinical or student teaching experience setting and related educational facilities provided by the District to each Candidate.
“Supervising Teacher” means the person employed by the District directly engaged in work in a school building and who has oversight of a Candidate during his/her Placement.
2. Purpose. The Parties are entering into this Agreement for their mutual benefit and for the purposes of providing instructional or clinical experiences to qualified Candidates as part of their educational program through the University and furthering their professional development.
3. Effective Date, Term, and Automatic Renewal. This Agreement takes effect on ____________________, or the date on which all Parties have executed this Agreement, whichever is later. This Agreement’s term is one (1) year, but the term will automatically renew for successive one (1) year terms unless either Party provides written notice of non-renewal at least sixty (60) days prior to the end of the term, or unless the Agreement is terminated under Paragraph 4.
4. Termination
Either Party may terminate this Agreement during its term for any reason upon sixty (60) (A)
days written notice to the other.
Either Party may, after providing ten (10) days’ written notice to the other, terminate this (B)
Agreement where there exists an actual or potential conflict of interest or any other appearance of impropriety.
5. Notice. Notices under this Agreement must be sent to the addresses indicated below via personal
delivery with receipt, or certified mail, return receipt requested, or courier. Notice will be deemed
given upon receipt.
To the District:
Hinsdale Township High School District 86 5500 S. Grant Street
Hinsdale, IL 60521
Attn: Dominick Maniscalco, Chief Human Resources Officer
To the University:
Attn:
6. Placement of Students. The University will submit requests for clinical/student teaching experience placements to the District in sufficient time to allow for the proper selection and assignment of supervising teachers, mentors, and Candidates in accordance with District policies and procedures.
Requests for clinical/student teaching experience placements must be accompanied by a student profile of each Candidate, including the Candidate’s biographical data, academic record information, and grade assignment preferences; provided, however, that nothing in this section constitutes a waiver or disavowal of any rights granted to the Candidate(s) under the Federal Educational Rights and Privacy Act of 1974 (FERPA) (20 U.S.C. 1232g).
To be considered for placement in the District, a Candidate must have passed all professional education and content-area coursework at the University, or any other college or university, with a grade no lower than “C” or the equivalent.
The University and the District will discuss and agree, in writing, to the scope of each Candidate’s placement in the District. If the scope of the placement changes or the Candidate is unable to complete the placement, the University and the District will discuss and attempt to mutually agree on the change in scope or the appropriate course of action.
The District is under no obligation to grant each or any student placement request.
7. University Responsibilities. The University will:
Prepare Candidates through classroom instruction and practice and provide the educational (A)
direction for the placement.
Designate a qualified faculty or staff member to serve as Supervisor to consult with the (B)
District regarding student placements, supervise Candidates engaged in clinical experiences in the District, and periodically review each Candidate’s progress toward meeting the University’s educational objectives.
Provide a current copy of the University’s clinical or student teaching experience manual for (C)
each Supervising Teacher and each District administrator directly involved in the Candidate’s placement.
Inform Candidates of and take all reasonable steps to ensure each Candidate’s compliance (D)
with the following requirements.
(1) Each Candidate will adhere to all policies, procedures, and standards established by
the District, as well as all applicable laws and regulations.
(2) Each Candidate is responsible for his/her own transportation and is not authorized to transport any students of the District by car or other vehicle.
(3) Each Candidate is responsible for adhering to established schedules and notifying the District and University of any absences or necessary schedule changes.
(4) Each Candidate will obtain prior written approval of the University and the District before publishing any material relative to the placement.
(5) Each Candidate will maintain confidentiality related to the District’s employees, students, business operations, and/or trade secrets.
(6) In the event of an emergency school closing, Candidates will be expected to respond to such closing in the same manner as the District’s teachers. Candidates are expected to report to their University Supervisor in the event of a labor-related work stoppage.
8. District Responsibilities. The District will:
Supervise Candidates and provide meaningful and appropriate learning experiences to the (A)
Candidate(s) to achieve the University’s educational objectives for the placement. Candidates are not employees of the District under the terms of this Agreement and may not take the responsibility or place of qualified staff, nor may they be asked by the District to do any substitute teaching for any of the teachers in the District. After demonstrating proficiency, Candidates may be permitted to undertake certain defined activities with appropriate supervision and direction.
Provide the University with feedback on Candidates as reasonably requested.
(B)
Comply with all applicable laws and regulations.
(C)
Obtain all applicable licenses, permits, and accreditations necessary to maintain its operation.
(D)
9. Candidate Removal. The District may immediately remove any Candidate whom the District determines to be unfit, unsafe to students, employees, or others, or otherwise detrimental to the District. The District will notify the University of the Candidate’s removal. The District will notify the University of the Candidate’s removal promptly.
10. Liability. To the extent permitted by law, neither Party is liable for any negligent or wrongful acts or omissions of the other Party. This Agreement is not to be construed as seeking either to enlarge or diminish any obligation or duty owed by one Party to the other or to a third party.
11. Liability Insurance. The University agrees to maintain the insurance set forth in Subsection (A) of this Paragraph, and the District agrees to maintain the insurance set forth in Subsection (B) of this Paragraph.
In instances of overlapping coverage, the applicable University’s policy will pay on a primary, non-
contributory basis, with the District’s policy paying on a secondary basis. The University and the
District agree to furnish each other, upon written request, with appropriate certificates of insurance
evidencing the required insurance policies, as well as relevant policy documents. Failure of the University or the District to obtain and maintain the coverage required hereunder is grounds for immediate termination of this Agreement. Neither Party is permitted to modify, revise, revoke, or
cancel, in whole or in part, any insurance policy required under this Paragraph, except after providing the other Party with at least thirty (30) days’ advance written notice of such modification, revision, revocation, or cancellation.
The University will obtain and maintain in force and effect during the term of this (A)
Agreement:
(i) commercial liability insurance or self-insurance, with specific coverage for physical and sexual abuse, with a limit of at least $1,000,000 per occurrence and $3,000,000 in the aggregate;
(ii) directors’ and officers’ liability insurance, with a limit of at least $1,000,000 per occurrence and $3,000,000 in the aggregate; and
(iii) umbrella liability insurance, with specific coverage for physical and sexual abuse, with a limit of at least $5,000,000.
The University insurance policies must, for occurrences related to or connected with the Candidate’s or the University’s acts or omissions, name the following as additional insureds:
the Hinsdale Township High School District No. 86, its Board of Education, and its individual Board members, officers, employees, representatives, successors, and assigns.
The District will obtain and maintain in force and effect during the term of this Agreement (B)
commercial liability insurance or self-insurance, with a limit of at least $1,000,000 per occurrence and $3,000,000 in the aggregate.
12. Health Insurance. Each Candidate will maintain his/her own health insurance coverage and comply with all health and immunization requirements of the District.
13. Criminal History Records Check. Prior to the beginning of each Candidate’s placement in the District, the Candidate will authorize and be subject to criminal history records checks and checks of the Statewide Sex Offender Database and Statewide Child Murderer and Violent Offender Against Youth Database. The procedures for and requirements of such checks apply to each Candidate as described in Section 10-21.9 of the Illinois School Code (105 ILCS 5/10-21.9).
Notwithstanding any agreement executed by the District and the Candidate’s college or university, Candidates who have been convicted of a crime enumerated under Section 10-21.9(c) or Section 21B-80 of the Illinois School Code (105 ILCS 5/10-21.9(c), 21B-80), or who are listed in the Statewide Sex Offender Database or the Statewide Child Murderer and Violent Offender Against Youth Database, will automatically be disqualified from placement in the District.
14. Nondiscrimination. The Parties agree to comply with all applicable federal and state non- discrimination laws and regulations, including but not limited to the Illinois Human Rights Act and its equal employment opportunity clause, as set forth in 44 Ill. Admin. Code 750, Appendix A.
15. Written Materials. The Parties will obtain written consent of the other before including the other
Party’s name or information in any printed materials, unless required by law or requested by an accrediting agency.
16. Confidentiality. Unless specifically indicated otherwise, information provided by either Party to the other will be kept confidentially, except as may be required by law.
17. Protection of Candidates’ Records. The Parties agree to protect the Candidate’s educational records in accordance with the Family Educational Rights and Privacy Act, 20 U.S.C. 1232g and any applicable University policy. To the extent permitted by law, the Parties may share information from Candidate’s educational records with each other so that each can perform its respective responsibilities under this Agreement.
18. Honoraria to District or Supervising Teachers. [Use this section only if the University is providing some form of compensation, tuition waiver, etc. If no such honoraria are being provided, this section should be deleted.] In exchange for offering the Placement, the University will provide the District with honoraria of the following type:
Such honoraria will be directed to the District for distribution as it sees fit. Honoraria must not be directed to or limited for use by an individual Supervising Teacher.
19. EdTPA. To complete their teacher education program at the University, Candidates are required to satisfactorily complete the Teacher Performance Assessment (edTPA). The edTPA requires Candidates to submit sample student work and video recordings of their instruction of students, which necessarily requires that student information be obtained by the Candidates and provided to the University. The District will permit any Candidates placed in the District to obtain parental consent on the form attached to this Agreement as Exhibit A, and with proper consent, to video record students and obtain samples of student work during the Candidates’ instruction. The University will require Candidates to keep such student information confidential and to turn over any and all copies of such student information to the University by the end of the current school term.
These video recordings and sample student work will remain the property of the University and will not be disclosed to any third party except as authorized by the parental consent form. The University will indemnify the District for any claims or liability related to the University’s or a Candidate’s unauthorized recording or disclosure of student information related to the edTPA.
20. Miscellaneous.
Complete Understanding. This Agreement sets forth all of the promises, agreements, (A)
conditions, and understandings between the parties relative to its subject matter, and no other
promises, agreements, or understandings, whether oral or written, expressed or implied, exist
between the parties.
Amendments. No subsequent alteration, amendment, change, addition, deletion, or (B)
modification to this Agreement will be binding upon the parties unless reduced to writing and duly authorized and signed by each of them.
Applicable Law and Venue. This Agreement is governed by the laws of the State of Illinois.
(C)
Proper venue for any action related to, connected with, or arising out of this Agreement is in the Circuit Court of DuPage County, Illinois.
Execution. This Agreement may be executed in counterparts, and a set of counterparts (D)
bearing the signatures of each Party constitutes the Agreement as fully as if all of the Parties have signed a single document. Facsimile transmission of this executed Agreement is acceptable.
The persons signing this Agreement represent and warrant that they have the authority to bind their respective Parties.
___________________________
UNIVERSITY
By:
Its:
Date:
BOARD OF EDUCATION OF
HINSDALE TOWNSHIP HIGH SCHOOL DISTRICT NO. 86, DUPAGE AND COOK COUNTIES, ILLINOIS
By:
Its: Superintendent or Designee Date:
299365_1
EXHIBIT A
Teacher Performance Assessment (edTPA™) – Release form for student participation
Dear Parent/Guardian (or Student at least 18 years of age):
I am enrolled in the teacher preparation program at [University] and am currently student teaching in your child’s classroom. Illinois participates in edTPA™, which means that, in order to complete my student teaching assignment, I have to complete an assessment called the Teacher Performance Assessment. This assessment includes submitting a video of me teaching a series of lessons in the classroom and examples of student work completed. In the course of recording my teaching, your child may appear on the video. I will gather samples of student work to submit as evidence of my teaching practice, which may include some of your child’s work. This is not an assessment of your child’s performance. This is an assessment of my instruction, required for me to obtain a teacher license. Though [University] may maintain these videos or samples, I will turn over all such materials to [University] and will not keep any copies after the end of this school term.
No student’s name will appear on any materials that are submitted, and materials will be kept confidential at all times. The video recordings and student work I submit will not be made public in any way. Materials I submit will be reviewed by instructors and possibly students in my program at [University], and they may also be used by test developers under secure conditions for edTPA program development and implementation, including scorer training, and to support continued program improvement activities such as future validity and reliability studies.
This form is a request for your consent to include both your child in the video and his or her class work. Please complete the bottom half of this page and retain the top for your reference. If you have any questions about the use of this video or your child’s class work, please contact my academic advisor, [name], at [phone#].
Thank you for your consideration.
[name - printed and signature]
RELEASE FORM FOR STUDENT PARTICIPATION
Student name: _______________________________ Student’s school: ___________________________________
I am the parent or legal guardian of the child named above. I have read and understand the project description given in the letter provided at the top of this form, and agree to the following (please check the appropriate line below):
___ I DO give permission for my child to appear on video recordings and my child’s class work to be used in the Teacher Performance Assessment of [Student Teacher]. I understand that my child’s name and any other personally identifiable information about my child will not appear on any of the submitted materials.
___ I DO NOT give permission for my child to appear on video recordings and my child’s class work to be used in the Teacher Performance Assessment of [Student Teacher] and understand that my child will be seated outside of the recorded activities.
Signature of Parent or Guardian: __________________________________________ Date: ________________
I am the student named above and am at least 18 years of age. I read and understand the project description given at the letter provided at the top of this form, and agree to the following (please check the appropriate line below):
___ I am at least 18 years of age and DO give permission to for me to appear on video recordings and for my class work to be used in the Teacher Performance Assessment of [Student Teacher]. I understand that my name and any other personally identifiable information about me will not appear on any of the submitted materials.
___ I am at least 18 years of age and DO NOT give permission for me to appear on video recordings and for my class work to be used in the Teacher Performance Assessment of [Student Teacher] and understand that I will be seated outside of the recorded activities.
Signature of Student: ______________________________ Date: _______________
