UAH STUDENT: _________________________ SEMESTER



The University of Alabama in Huntsville

COLLEGE OF EDUCATION

323 ROBERTS HALL

HUNTSVILLE, AL 35899

UAH STUDENT: _________________________________________________SEMESTER: ________________

APPROVAL OF COOPERATING TEACHER WITH A CLASS B CERTIFICATION

GENERAL INSTRUCTION: This form must be completed and kept on file by the chairperson of education if a teacher with a Class B (baccalaureate degree level) certificate is recommended by the employing school to serve as a cooperating teacher due to extenuating circumstances.

I APPROVE THE CLASS B CERTIFIED TEACHER NAMED BELOW TO SERVE AS A COOPERATING TEACHER. THIS TEACHER MEETS THE FOLLOWING CRITERIA:

1. HOLDS A CLASS B (BACCALAUREATE DEGREE LEVEL) CERTIFICATE WITH AN

ENDORSEMENT IN THE TEACHING FIELD(S) OF THE STUDENT INTERN.

2. HAS AT LEAST THREE YEARS OF SUCCESSFUL TEACHING EXPERIENCE.

3. UNDERSTANDS THE PROGRAM OF EACH INTERN SUPERVISED AND THE LEVELS OF

ACHIEVEMENT OF EACH.

4. IS COMPETENT TO PROVIDE SUPERIOR PROFESSIONAL SUPERVISION OF THE INTERNS.

5. CURRENTLY TEACHES CLASSES IN THE INTERN’S AREA OF SPECIALIZATION. _____________________________________________________________________________________________

TO BE COMPLETED BY COOPERATING TEACHER:

NAME OF TEACHER SOCIAL SECURITY# SCHOOL SYSTEM IN YEARS OF TEACHING

WHICH EMPLOYED EXPERIENCE

_____________________ ___________________ ___________________ _____________

CLASS B CERTIFICATE CURRENT TEACHING ASSIGNMENT

TYPE EXPLANATION(S)/ENDORSEMENT (S) VALIDITY PERIOD SUBJECT(S) GRADE(S)

______ _____________________________________ __________________ ___________ ___________

______ _____________________________________ __________________ ___________ ___________

______ _____________________________________ __________________ ___________ ___________

TO BE COMPLETED BY PRINCIPAL:

REASON(S) FOR THIS APPROVAL: (CHECK APPLICABLE REASONS BELOW.)

_________ A TEACHER WITH A CLASS A (MASTER’S DEGREE LEVEL) CERTIFICATE IS NOT AVAILABLE.

_________ THIS IS AN EXEMPLARY ROLE MODEL.

_________ OTHER REASON (SPECIFY): _______________________________________________________________

___________________________________________________________________________________________________

PRINCIPAL’S SIGNATURE SCHOOL AND SYSTEM DATE

SIGNATURE OF CHAIRPERSON OF EDUCATION NAME OF UNIVERSITY DATE

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