Forms

To Install 'FREE' copy of Adobe Reader, click here   http://get.adobe.com/reader/otherversions/.

Pre-Professional Semester Forms

(For returning forms that have Microsoft Word format available, you should open .doc forms, save them to your computer, complete the saved copies electronically, and submit them in person to the Education Department Chair. ) 

•  Declaration for Education Minor  (fill in form using Adobe Reader*) (You may use a 'digital signature'  and return electronically via email or  complete the form, sign by hand, and mail  or fax to Education Dept .) 
 
• Education Sequence Checklist   (for Class 2012 and 9th semester Class of 2011)  (PDF Format)  
  
• Education Sequence Checklist   (Beginning with Class 2013)  (PDF Format)  
  
• Certification Area Checklists  
  
• Staff Health Assessment Form  (PDF Format) 
  
• Advising Course Completion form  (PDF Format) 
  
• Overall Graduation Requirements form  (PDF Format) (note requirements are listed on the Dickinson web site under:  http://www.dickinson.edu/bulletin/requirements.htm 
  
  

Application to Teacher Certification Program Forms

(For returning forms that have Microsoft Word format available, you should open .doc forms, save them to your computer, complete the saved copies electronically, and submit them in person to the Education Department Chair. ) 

• Application for Admission to Teacher Certification Program form (Microsoft Word format)  OR
•  Application for Admission to Teacher Certification Program form (fill in form using Adobe Reader*)
• Recommendation for Admission to Teacher Education Form  (PDF format) 
•  Student Teacher Information form   (PDF fill-in version recommended using Adobe Reader*)  If you cannot sign the form digitally, please complete, print, hand sign, rescan and email as attachment to educdept@dickinson.edu.  If you have problems with the pdf version, please use this Microsoft Word version of the Student Teacher Information Form. 
•  Issues/Trends Student Information Form (fill in form using Adobe Reader*)
  OR use this Microsoft Word version of the Issues/Trends Student Information Form.
• Education Sequence Checklist   (see Education Sequence Checklist(s) under Pre-Professional Semester Forms above) 
• Certification Area Checklists

Cooperating Teacher Forms for Student Teachers

  (For returning forms that have Microsoft Word format available, you should open the .doc form, save it to your computer, complete the saved copy electronically, and return it as an email attachment to : educdept@dickinson.edu.

SUBJECT SPECIFIC COMPETENCIES (Excel Format) 

• BIOLOGY 
  CHEMISTRY  
  EARTH and SPACE SCIENCE 
  ENGLISH  
  FOREIGN LANGUAGE 
  GENERAL SCIENCE
  MATH 
  PHYSICS  
  SOCIAL STUDIES  
    

 WEEKLY OBSERVATION/EVALUATION FORMS (Microsoft Word Format) 

OTHER STUDENT TEACHING FORMS 

•   Checklist of Student Teacher Experiences     (PDF format)                                       
•   Mid-term and Final Evaluation Form  (PDF  format)  
      OR   (Fill-in  format using Adobe Reader *)
•   PA Statewide Evaluation Form - PDE 430    (Microsoft Word format)
•  PA Statewide Evaluation Form – PDE 430A   (MS Word Elecronic Form)
•   Evaluation of Teacher Competencies  (Microsoft Word format)  
      OR  (Fill-in Format *)
•  Cooperating Teacher Letter of Recommendation Guidelines   (PDF format)
• Cooperating Teacher Survey (Microsoft Word format)

Pennsylvania Department of Education (PDE) Forms
 

• Application for PA Public School Employment
  

Other Forms

• W9* (pdf format) 

  This is a fill-in form by tabbing to the sections and typing in information.  Print, sign, and return to the Dickinson College Education Department, PO Box 1773, Carlisle, PA 17013-2896.

*  To Install 'FREE' copy of Adobe Reader, click here   http://get.adobe.com/reader/otherversions/