Teacher Education Placement Assistance Request

Last Name

First Name

CNM ID Number

Phone Number

CNM Email Address FERPA guidelines indicate that electronic communication can only be sent via student’s @cnm.edu account. You must check this account regularly. Please contact the CNM ITS Service Desk at (505) 224-4357 if you are unable to access your CNM e-mail or if you are experiencing other technical difficulties.

Course Name Use the drop down menu to select the course you are currently enrolled in.

What term are you applying for placement?

Course Instructor Select the last name of the faculty assigned to the EDUC 1102/1190 for which you are enrolled.

Chenven
Jewett
Romero
Other

Days and Times Available to Complete Hours Enter the schedule of days and times you will be available to complete practicum hours. Example: Mondays 12:00pm - 5:00pm Thursdays 8:00am - 3:00pm

Have you passed a background check? In order to complete your practicum experience you must successfully pass a background check. Districts and individual schools have specific requirements to conduct observations at their sites. If you have not passed a background check, we will provide you with information for your desired school district (APS, RRPS, etc.).

Yes
No

Age Group Please select all the age groups you are interested in working with.

K - 2nd grade

3th - 5th grade

6th - 8th

9th - 12th

Content area (what subject are you interested in teaching)?

Special Education

General Education (elementary)

Math

Science

English/Language Arts

Social Studies/History

Area of Town Select all areas of town you would like to be placed. These options cannot always be guaranteed but will be taken into consideration.

ABQ - Northeast

ABQ - Northwest

ABQ - Southeast

ABQ - Southwest

Rio Rancho

Other (Enter specifics in the comments section below. *Please note: Placements outside the Albuquerque and Rio Rancho districts cannot be guaranteed.)

School District/School Name/Content area We cannot guarantee a specific placement, however you may enter a preferred school district and the name of a school at which you are interested in observing. If you have selected grades 6th or above please provide a content area to observe (math, science, etc.).

If yes, please indicate where and your title.

Comments Please include any additional information you feel is important regarding your placement.

Locations

Innovation

About

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