Intent for Clinical Participation
This form should be submitted prior to the deadline for Residency or Student Teaching. Please click here for more information.
Please Complete All Fields.
I am planning to participate in:
Your Proposed Plan
When do you plan to begin Residency or Student teaching? (Not Current Term)
Licensure Area (Teaching Field)
Emergency Contact Information:
List any pertinent information that you feel is important for the TTU Office of Teacher Education to consider when
making your placement for your clinical experience (i.e. health concerns or limitations, pregnancy, etc.)
Select two school systems where you would like to complete your clinical experience. While your preferences are taken into consideration, they cannot be guaranteed. If you are completing this form for Residency 2, please do not select a school system.
College of Education