TEFB 407 Placement Application

Placements are based on section. Requests for mentor teachers will not be considered.

Name

First

Last

UIN

TAMU Email

Phone

Select section and field day/time:

Select your certification area:

Other Certification Area

Select your certification program:

Have you completed a field experience in any other course (e.g. TEFB 324)?

Yes

Select any/all campuses to which you have been previously assigned.

List all teachers observed:

Last names only

List all subjects observed:

If you have a relative or child at an area school, list the campus.

Emergency Contact Name

Emergency Contact Phone

Please explain any extenuating circumstances that might affect your placement.