Lake Superior State University
Lake Superior State University
 
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Desiree Barrett '08
B.S Elementary Teaching

Department of Education

Forms/Handbooks for Students and Interns

Handbooks

All Forms

Forms for Current Students

Evaluation of Professional Dispositions

  • F301 Commitment Letter
  • F302  Evaluation Of Dispositions. (PINK FORM) Required of all students in EDUC250, EDUC301, EDUC411 and EDUC430.  Optional for any student at any time.

Internship Application  

  • F350 Application for Intern Placement
  • F351 Disclosure of Family/Personal Relationship in Placement School
  • F355 Intern Requirements Checklist
  • F365 Pre-Internship Interview  

Forms for Interns

Forms required at the end of student Teaching

  • Form F200 Application for Initial Provisional Certification
    • See note below
    Canadian students must apply directly to the Ontario College of Teachers - pick up the application entitled "Teachers Trained Outside Ontario" from the School of Education or go online to their website for additional information www.oct.ca.  Please Read the  OCT Guide sheet with additional directions for LSSU graduates.  
    • F220-D Ontario Student Information Release (revised  Jan2012)  
    • F225-C MDE-OCT Letter of Professional Standing (required for Ontario candidates)

Supervisors

Forms used by Supervisors
  • F110  University Supervisor Visit Record 
  • F115  1st Progress Report
  • F120   Classroom observation (Narrative)
  • F125  Classroom observation (Rubric) 
  • F130  Periodic Formal Evaluation 
  • F140  Intern Plan of Assistance Guidelines F500 
  • F500-c Mentor Teacher Application for SBCEU credits.  (Revised Oct 2011) Application must be received by January 10 for fall semester supervision, and by June 10 for spring supervision.

Certification Forms

Used to apply with LSSU for your certificate/renewal

Overview of Certification Procedure:

  • Processing of Certification Requests requires both paper-based applications (to initiate and verify required information) and online applications completed through MOECS. Contact Sandi Rink, for more information x2886.
  • F025-c Background Check & Release -revised 29AUG2011  
    REQUIRED WITH ALL APPLICATIONS & FORMS
  • F200-F Application for Initial Provisional Certification (revised 18Mar08)
  • F205 (revised 18Mar08)  Application for Provisional Renewal
  • F210-D (revised 12SEPT2011) Application for Additional Endorsement
  • F215 (revised 18Mar08) Application for Professional Certificate (pdf)
  • F220-D Ontario Student Information Release (revised  Jan2012)  
  • F225 MDE-OCT Letter of Professional Standing (required for Ontario candidates)
  • F230 Verification of Teaching Experience (Verification required WITH F215)

Are you certified in another state, or has your Michigan teacher certification expired?  You will need to apply directly to the Michigan Department of Education.

Photo by John Shibley: International Bridge viewed from Campus.

Mathematics - Secondary Education

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