C&I 620: Placement Request Form - iSchool Practicum Info

Please note that many institutions that host practicum sites are still recovering from pandemic. Students in the school libraries program will be placed in both an elementary school and a secondary school for a total of 240 hours. They register for C&I 620, which is cross-listed with LIS 620. We encourage students to continue to use the following placement request form to list both specific sites in which they are interested, as well as describing the type of work they’d like to do, so that iSchool staff can contact potential placement sites to determine if a field project placement is possible.

First Name *

Student first name

Last Name *

Student last name

Email *

Student email address

Phone *

Student phone. XXX-XXX-XXXX

Expected Graduation Date

Indicate the year and semester of your expected graduation. For example, Spring 2024.

I plan to student teach at the Elementary Level for the following hours:

School library students must student teach for a total of 180 hours. One placement experience must be for 60 hours and the other for 120 hours.

I plan to student teach at the Secondary Level for the following hours:

School library students must student teach for a total of 180 hours. One placement experience must be for 60 hours and the other for 120 hours.

Preferred setting for Secondary Level placement:

I'm requesting placement for: *

Spring
Fall

Indicate the semester during which you are seeking a practicum placement.

Do you plan to complete both placements in the semester declared above?

I know with whom I would like to work:

If YES, please provide the following information for the Elementary Level setting: School, School District, School Library Media Specialist

If YES, please provide the following information for the Secondary Level setting: School, School District, School Library Media Specialist

If NO, please describe the geographic area and/or district where you hope to student teach:

What are your transportation options for getting to your field project site?

How far are you willing to travel to reach your field project site?

Please provide any additional information regarding your student teaching interests or conditions (i.e. transportation issues) that could affect your student teaching placement:

The more specific you are, the more likely you will receive a placement that best fits your needs.