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Student Teacher Placement Request Form
Home
Student Teacher Placement Request Form
Student Teacher Placement Request Form
1. Please enter the name of the student:
(Required)
First
Last
2. Please enter the name of the university:
(Required)
3. Please list the name of the placement coordinator:
(Required)
4. Please list the email of the placement coordinator:
(Required)
5. What grade level does the student wish to observe? (select all that apply)
(Required)
Pre-K/Early Intervention
Elementary
Middle School
High School
Select All
6. How many weeks is the student teacher placement?
(Required)
value must be a number
7. Is this a split placement?
(Required)
Yes
No
8. If this is a split placement please explain which placement you would like first: (example: 16 weeks, first 8 weeks in elementary, second 8 weeks in middle school)
9. What date would you like the student teaching to start?
(Required)
MM slash DD slash YYYY
10. Please select which school you would like to observe in (select all that apply):
(Required)
Stevens High School
Central High School
Rapid City High School
Jefferson Special Services
Black Hawk Elementary
Canyon Lake Elementary
Corral Drive Elementary
General Beadle Elementary
Grandview Elementary
Horace Mann Elementary
Knollwood Elementary
Meadowbrook Elementary
Pinedale Elementary
Rapid Valley Elementary
Robbinsdale Elementary
South Canyon Elementary
South Park Elementary
Valley View Elementary
Wilson Elementary
East Middle School
North Middle School
South Middle School
Southwest Middle School
West Middle School
11. Please list which content area you are requesting to student teach in: (example: Chemistry)
(Required)
12. Is there a specific teacher you would like to request?
13. Has the student completed the Fast Track application at https://rcas.org/our-district/human-resources/careers? (Fast Track applications are required to be filled out by all student teachers before placements will be processed.
(Required)
Yes
No
Unknown
14. Does the student teacher have children in the RCAS school district?
Yes
No
15. If yes to 14; please list what school and what age the dependent children are: (*students are not permitted to student teach in the classroom of their dependent child).
