Print View Cooperating Teacher Information Sheet

Unless fields in this survey explicitly request identifying information from respondents, your participation will be anonymous.
Required = Response is required
Oregon State University Cooperating Teacher Information
Thank you for mentoring an OSU student teacher! Our accreditation requires us to maintain records on all of our cooperating teachers. Thank you for providing the following information.
Required NAME
(Maximum characters allowed: 20,000)
Phone Number
(Maximum characters allowed: 20,000)
Required Email Address
(Maximum characters allowed: 20,000)
Current Employment Information
Required School District
(Maximum characters allowed: 20,000)
Required School
(Maximum characters allowed: 20,000)
Required Grade(s) Currently Teaching
(Maximum characters allowed: 20,000)
Current License Information
Required Type of License (i.e. Standard, Basic, Initial I, Initial II...)
(Maximum characters allowed: 20,000)
Required Endorsement Area(s)
(Maximum characters allowed: 20,000)
Required Authorization Level(s)
(Maximum characters allowed: 20,000)
Required Number of Years of Teaching Experience
(Maximum characters allowed: 20,000)
Educational Background
Required Degree(s) (i.e. Bachelors, Masters, PhD)
(Maximum characters allowed: 20,000)
Required Major Area(s) of Study
(Maximum characters allowed: 20,000)
Required Institution/Year Awarded (Example - Oregon State University/2015)
(Maximum characters allowed: 20,000)
Demographic Data (collected for accreditation purposes only)
Required Gender
 
Required Ethnicity
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Please contact jen.humphreys@oregonstate.edu if you have any questions regarding this survey.