Pre-Fall Quarter

EFC 330 Field Experience Application

  1. Download this Application, complete and save it,and email it to the Office of Field Experiences at no later than April 15th.
  2. Fingerprint clearanceand Admission to theTeacher Certification Programmust be receivedno later than April 30th.
  3. The Office of Field Experiences will enroll you in the course. You will need to check your CWU Outlook email regularly for information.
  4. Download the Workbook from the Educational Foundations and Curriculum webpage at you want to take a look at it before you get your hard copy at orientation
  5. If you plan to withdraw, you must contact the OFE Program Support Supervisor, Jan Case at by May 29.
  6. By submitting this form, you agree that you are responsible for the additional tuition and fees for this course.

Applicant Information

Last Name / First / M.I. / Rec’d by OFE:
Street Address / Apt./Unit #
City / State / ZIP
Phone / CWU Outlook Email Address
Emergency Contact / Phone / Email
Student ID # / Cell Phone
Major / Minor
Prerequisites? (Pre-Obs, Psy 314, EFC 210, EFC 310) / YES / NO
Electronic Fingerprints Submitted? / YES / NO / If yes, when?
Admission to Teacher Certification Program? / YES / NO

Placement information

Please choose one of the following: Choose the grade or level within your choice:
Elementary Education / 1st Choice / Kindergarten1st2nd3rd4th5th6th / 2nd Choice / Kindergarten1st2nd3rd4th5th6th
Secondary Education Subject / 1st Choice / 7th8th9th10th11th12th / 2nd Choice / 7th8th9th10th11th12th
Special Education / Elementary / Secondary
GEOGRAPHIC LOCATION AND DISTRICT REQUEST
  1. Select THREE choices from geographic areas on the far left, using the pull down menus (1, 2, 3). Click the gray area to activate pulldown.
  2. Select, in order of preference, the DISTRICTSwithin each geographic area.
  3. You must choose THREE geographic areas in order for your application to be accepted.

1 2 3 Kittitas Valley(Limited, Random Selection) / 1st DistrictCle ElumDammanEastonEllensburgKittitasThorp / 2nd District Cle ElumDammanEastonEllensburgKittitasThorp / 3rd District Cle ElumDammanEastonEllensburgKittitasThorp
1 2 3 Lower Grant County / 1st District EphrataMoses LakeOthelloRoyal CityWahluke (Mattawa) / 2nd District EphrataMoses LakeOthelloRoyal CityWahluke (Mattawa) / 3rd District EphrataMoses LakeOthelloRoyal CityWahluke (Mattawa)
1 2 3 Wenatchee Valley / 1st District CashmereEastmontEast WenatcheeLeavenworthQuincyWenatchee / 2nd District CashmereEastmontEast WenatcheeLeavenworthQuincyWenatchee / 3rd District CashmereEastmontEast WenatcheeLeavenworthQuincyWenatchee
1 2 3 Surrounding Yakima / 1st District East ValleyHighlandNachesWest Valley / 2nd District East ValleyHighlandNachesWest Valley / 3rd District East ValleyHighlandNachesWest Valley
1 2 3 Yakima Valley / 1st District SelahYakima / 2nd District SelahYakima
1 2 3 Lower Yakima / 1st District GrandviewProsserSunnyside ToppenishWapatoZillah / 2nd District GrandviewProsserSunnyside ToppenishWapatoZillah / 3rd District GrandviewProsserSunnyside ToppenishWapatoZillah
1 2 3 South Snohomish Co. / 1st District EdmondsEverettMonroeMukilteoShoreline / 2nd District EdmondsEverettMonroeMukilteoShoreline / 3rd District EdmondsEverettMonroeMukilteoShoreline
1 2 3 North King County / 1st District Mercer IslandNorthshore / 2nd District Mercer IslandNorthshore
1 2 3 Central King County / 1st District BellevueIssaquahLake WashingtonSeattle / 2nd District BellevueIssaquahLake WashingtonSeattle / 3rd District BellevueIssaquahLake WashingtonSeattle
1 2 3 South King County / 1st District AuburnFederal WayHighlineKentRentonTahomaTukwila / 2nd District AuburnFederal WayHighlineKentRentonTahomaTukwila / 3rd District AuburnFederal WayHighlineKentRentonTahomaTukwila
1 2 3 Pierce County / 1st District BethelClover ParkFifeNorth ThurstonOrtingPuyallupSumnerTacomaWhite River / 2nd District BethelClover ParkFifeOrtingPuyallupSumnerTacomaWhite River / 3rd District BethelClover ParkFifeOrtingPuyallupSumnerTacomaWhite River