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USC Upstate
School of Education
Cooperating Teacher Educational
Background and Experience Form

The School of Education at USC Upstate requires documentation on the educational background and experience of those who work with us as Cooperating Teachers.  Please fill in the information requested below and click submit.  This will automatically send the information to our Field Placement Coordinator in the School of Education office.

 

Semester:
Year:
Coop. First Name:
Coop. Last Name:
Email:
Certification Area:
Current School:
Current Administrator(Principal):
Student Teacher Name:

EDUCATIONAL BACKGROUND:

 

Degree:

Institution:

Dates:

Major:

Ex.  BA USC Upstate 2000-2004 Elem Ed
       
       
       
       

PROFESSIONAL EXPERIENCE (RECENT TO PAST):

 

Dates of
Employment:

Position:

Employer:

Ex. 1999 - present 3rd grade teacher Slippery Rock Elem.