To:Potential COOP students

From:Mrs. Jans & your high school counselor

Please complete the attached application and additional requirements and give all necessary paperwork to Mrs. Jansno later thanJanuary 29th.

TB test:This is a state requirement. Although there is normally a $20 charge for this test, Mrs. Sykes (our district HCE instructor) usually will administer this test at the end of the semester. If you do not or cannot attend this day, it will be your responsibility to complete this test at your doctor’s office or another clinic licensed to give this test.

Immunizationrecords: These are on your transcript, so you can request a copy from your counselor or you can request a copy from your doctor’s office. If your immunization records are out of date, it is yours/your parent’s responsibility to get your immunizations current.

Letters of Recommendations(2):Please ask two non-relatives to write you letters of recommendation. You can ask current/former teachers, club sponsor or coach, your counselor, church leader or employer. Provide for them a copy of your resume’ or list of activities and give them at least two weeks’ notice.

Photo ID:Your school ID, state ID or driver’s license will suffice. Mrs. Jans will make a copy of it when you turn in your application to her.

Interaction/Observation day: You are to sign up with Mrs. Jans when you turn your application in, on an available observation day where you will spend 1 hour in the preschool interacting with our little ones.

Student Personal Information Form C.O.O.P

C.O.O.P Students Name:______

Student numbers: Home-______
Cell-______

Student E mail:______

Parents names:Mother:______Phone:______

Father: ______Phone:______

Home address:______

Emergency Contact information:

Name:______

Address:______

Phone Number: ______

High School Students Checklist of Requirements for class:

  1. TB TEST______
  2. Immunization copy ______
  3. Letters of Recommendations(2)______
  4. Lesson plan teaching date______
  5. Photo ID______

Preschool COOP Application

Name______Class Year______

Before you begin taking this survey I would like to express the importance of our Early Childhood Internship Class. This class is designed for students who are interested in working with children. In order to take this course, you must be committed, dedicated, team player and have a work ethic that is mature enough to handle the responsibilities of the preschool. This class is a 2 credit where you are planning lessons during 4th hour and instructing preschoolers during a field hour.

Child Development students must have a C or better, maintain this grade throughout the year and have completed all assignments on time as well as demonstrated responsibility, respect and dedication in the classroom.

Documentations:

  • TB test
  • 2 letters of recommendation
  • Interview/Observation Completed
  • Application
  • Parent signature/contract
  • 30 dollars for Dues/Shirt (Due the 1st week of school if entered into the program)

Required field trips:

Leadership, regional and State competition,

Service projects-TBA

Why am I interested in taking COOP (Early Childhood Education Internship?) ______

  • The selection Process will be based on the following:
  • Preschool hours (Directors approval)
  • Interview for the class
  • Attitude and respect in the classroom
  • Child development grade/work ethic