Forms

Note: For forms in PDF format, you can download the free Adobe Reader from the company Web site.

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 (PDF Format) (This form requires a signature and cannot be returned to Education Department electronically.)
• Education Sequence Checklist (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)
• Recommendation for Admission to Teacher Education Form (PDF format)
• Student Teacher Information (Microsoft Word format) (This form requires a signature and cannot be returned to Education Department electronically.)
• Education Sequence Checklist (PDF Format)
• Certification Area Checklists

Host 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 (PDF Format)

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

WEEKLY OBSERVATION/EVALUATION FORMS (PDF Format)

• Observation/Evaluation Report Form - Commentary
• Observation/Evaluation Report for weeks 1 -4
• Observation/Evaluation Report for weeks 5-8
• Observation/Evaluation Report for weeks 9-12
• Observation/Evaluation Report (unnumbered)

OTHER STUDENT TEACHING FORMS

• Checklist of Student Teacher Experiences (Microsoft Word format)
• Mid-term and Final Evaluation Form (Microsoft Word format)
• PA Statewide Evaluation Form - PDE 430 (Microsoft Word format)
• Evaluation of Teacher Competencies (Microsoft Word format)
• Host Teacher Letter of Recommendation Guidelines (Microsoft Word format)

Pennsylvania Department of Education (PDE) Forms

• PDE338G General Application for PA Certification (PDF Format)
• PDE338C College Verification Form (PDF Format)

Minors Only Forms

• Internship Information Form (Microsoft Word format)