Lawrence University Conservatory of Music

Student Teaching Placement Questionnaire

return this completed form to Kate bittner no later than february 2, 2016.

Name: Date:

Term III campus address:

Term III campus phone and e-mail:

Year of Matriculation:

YES / NO

_____1. My cumulative GPA is above 2.75.

_____2. I have attained qualifying scores on a standardized academic skills test (Praxis I PPST, Praxis Core, ACT, SAT, or GRE).

_____3. I have successfully passed the Praxis II test (Music Content Knowledge).

_____4. I have completed the 100 hours of field experience required prior to student teaching.

_____5. My 100 hours are documented in my file (Carol Marx: ).

_____6. I have officially declared my music education major at the registrar’s office (see Voyager).

7. Please check the appropriate area(s) of emphasis:

_____General - MUE1

_____Choral/General - MUE2

_____Instrumental - MUE3

_____Instrumental/General - MUE4

_____8. I have passed my qualifying exam and am on track to meet the performance requirements for

my instrument or voice.

Required Signature of Studio Teacher: ______

_____9. It appears that I am a candidate for the student teacher tuition waiver program.

Students in the Bachelor of Music degree program may qualify for a 13th term tuition waiver for student teaching, paying only a registration fee (around $1283). Students must have completed all graduation requirements except student teaching; this term must immediately follow the 12th term. For students in the five-year double degree program, a 16th term of student teaching is available under the same policy; this term must immediately follow the 15th term.

Required Signature of Advisor: ______

_____10. If you will return to campus after student teaching to finish degree requirements, list your

remaining post-student teaching courses and/or recital:

11. List the month and year you intend to receive your diploma.

Month: ______Year: ______

12. Indicate the semester in which you plan to student teach in music:

Fall 2016 _____Spring 2017 _____

13. List cooperating teachers with whom you want to work and why. *

General TeacherSchoolWhy

Preference #1:

Preference #2:

Signature of Prof. Miller: ______

ChoralTeacherSchoolWhy

Preference #1:

Preference #2:

Signature of Profs. Swan or Sieck: ______

Instrumental TeacherSchoolWhy

Preference #1:

Preference #2:

Signature of Profs. Arau or Keelan: ______

* NOTE: All student teaching placement requests will receive careful consideration by the Music Education Department. The Music Education Department will make the final decision about placement. Placements take time to confirm and may change during the confirmation process.

  1. Explain in detail any “NO” answers or other incomplete requirements.

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December 10, 2014