Cooperating Teacher Application - Local Districts This application is for general education teachers only Qualifications for hosting a clinical teacher*To be considered to host a clinical teacher you meet the following required cooperating teacher guidelines: - 3+ years teaching experience; - current Texas teaching certification (in primary certification category of clinical teacher); - accomplished educator (as shown by student learning); - willingness to complete cooperating teacher training and report clinical teacher’s progress to supervisor; - commitment to guide, assist and support clinical teacher in planning/classroom management/instruction/assessment/working with parents/obtaining materials/district policies. I confirm that I meet the outlined qualifications First Name* Last Name* Middle Name (for TEA certification look up)* Maiden Name (for TEA certification look up)* Email* District* Anderson Shiro ISD Caldwell ISD Franklin ISD Iola ISD Mumford ISD Navasota ISD North Zulch ISD Snook ISD Campus Name* Grade*Pre-KKinder12345678High schoolContent Area*Select all that applyAll SubjectsELASocial StudiesMathScienceOtherOther content List specific content taught (e.g. Algebra, Biology, US History, etc.)*Total years experience* Have you hosted a TAMU clinical teacher before?* Yes No List your current teaching certification(s)*For verification, visit https://secure.sbec.state.tx.us/SBECONLINE/virtcert.asp ESL Certification*Do you have a current ESL certification? Yes, I have a current ESL certification No, I do not have a current ESL certification Provide 3 words to describe your teaching style and elaborate/explain*Describe your classroom setting*Please share any additional information or requestsCommentsThis field is for validation purposes and should be left unchanged. Δ