MAT Program Forms
Forms are in Adobe PDF Fillable Format
Students
Please email all student teaching forms to Candy McGilvray at cmcgilvr@eou.edu
“A” Placement
- “A” Placement Verification Form
- Change of Placement Form
- Form B-1 – Student Self-Evaluation of “A” Placement
- (due at end of 3rd week of placement)
- Form B-2 – Student Evaluation of “A” Field Placement
- (due at end of “A” placement)
- Work Sample Student Guide: new for 2012
- Work Sample Proposal form: new for 2012
- Work Sample Cover Sheet: new for 2012
- Lesson Plan Template (WORD)
“B” Placement
- “B” Placement Verification Form
- Change of Placement Form
- Form B-3 – Student Self-Evaluation of “B” Placement
(due at end of 3rd week of placement) - Form B-4 – Student Evaluation of “B” Field Placement
(due at end of “B” placement) - Work Sample Student Guide: new for 2012
- Work Sample Proposal form: new for 2012
- Work Sample Cover Sheet: new for 2012
- MAT Elementary Handbook
- MAT Secondary Handbook
- MAT Calendar of due dates
- InTASC Model Core Teaching Standards
- MAT Dispositions Survey
Cooperating Teachers
Complete with University Supervisor:
- Form D – Mid-Term Evaluation of “A” Placement
- Form D – Final Evaluation of “B” Placement
- Form E – Student Teaching Summary Report “B” Placement
- MAT Elementary Handbook
- MAT Secondary Handbook
- MAT Calendar of due dates
- InTASC Model Core Teaching Standards
University Supervisors
- Form C – new for 2012
- Form D- Mid-Term Evaluation: new for 2012
- Form D – Final Evaluation: new for 2012
- Form E – Student Teaching Summary Report
(Completed with Cooperating Teacher) - Work Sample Flow Chart: new for 2012
- Work Sample Proposal Approval Form
- Work Sample Scoring Guide
(2 required)
- Travel Log (Submit monthly)
- Travel Authorization – Blanket Form (Required each term)

