Self-Placement Form - College of Education - Illinois State 2026

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  1. Click ‘Get Form’ to open the Self-Placement Form in our editor.
  2. Begin by entering your personal information in the ISU Teacher Candidate Information section. Fill in your name, UID number, and select the semester for your clinical experience.
  3. Next, provide details about your course in the ISU Teacher Education Course Information section. Include the department, course name, course number, and section number.
  4. In the School/Agency Information section, input the school or agency name, address, city, and zip code where you will be completing your clinical experience.
  5. Fill out the School/Agency Administrator Information with the administrator's name, position/title, phone number, and ensure to obtain their signature for approval.
  6. Complete the Hosting Teacher Information by providing the teacher's name and signature if possible. Include their driver's license number or birth date as necessary.
  7. Finally, check all applicable activities you are expected to complete during this clinical experience before saving or printing your form.

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