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- Click ‘Get Form’ to open it in the editor.
- Begin by entering the name of the student teaching candidate in the designated field.
- Fill in your name and home mailing address, ensuring accuracy for correspondence.
- Provide your school district and school email address for verification purposes.
- Enter your Social Security Number or Vendor ID Number as required.
- Sign the form to confirm your information is correct and complete.
- Select the semester during which you supervised, and check the appropriate supervision type and benefit option.
- If applicable, include the name of your co-teacher if you utilized a co-teaching model.
- Review all entries for accuracy before submitting. Ensure that you return this completed form by the specified deadline.
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