Practicum Licensure Forms Library

Alert Form

• Alert Form (MS Word)

Application for Practicum

• Application for Practicum Undergraduate (MS Word)
• Application for Practicum with Mentor Application Graduate (MS Word)
• Mentor Teacher/Supervising Practitioner Application (MS Word)
• Mentor Teacher/Supervising Practitioner Waiver (MS Word)

Application for Licensure Instructions

• Initial Licensure - Graduate/Undergraduate (MS Word)
• Reading Specialist - Initial (MS Word)
• School Guidance Counselor (MS Word)
• EDLM Endorsement for Licensure Instructions (MS Word)

Candidate Dispositions Assessment

• Candidate Dispositions Assessment Guidelines (MS Word)
• Candidate Disposition:
  • Candidate Disposition - Color (PDF)
  • Candidate Disposition - Black and white (PDF)

Capstone for M.Ed. Programs

• Capstone Project District Approval (PDF)

Common Core and Curriculum Frameworks

• PreSchool Early Learning Guidelines (PDF)
• Mathematics Curriculum Frameworks (PDF)
• ELA and Literacy Curriculum Frameworks (PDF)
• Science and Technology/Engineering Curriculum Frameworks (PDF)
• History and Social Science Curriculum Frameworks (PDF)
• Resources for History and Social Science
• Common Core ELA Appendix A Research Supporting Key Elements (PDF)
• Common Core ELA Appendix B Text Exemplars & Sample Performance (PDF)
• Common Core ELA Appendix C Samples of Student Writing (PDF)

Departmental Review Process

• Departmental Review Process (PDF)
• Departmental Review Form (MS Word)

EDLM

• Application for Graduate Practicum/Internship (MS Word)
• Candidate Dispositions Assessment - EDLM (PDF)
• Documentation of Field-Based Activities (PDF)
• EDLM - Field Experience Report (PDF)
• Practicum Hours Documentation (PDF)
• Practicum/Internship Evaluation Administrator Licensure (PDF)
• Pre-service Performance Assessment Form (PDF)

ELAR

• Creating an ELAR account to secure a MEPID (MS Word)

Exit Surveys

• Teacher Candidate Exit Survey - Initial
• School Counselor Candidate Survey
• Teacher Candidate Exit Survey - Professional Licensure
• Educational Leadership & Management Exit Survey

Grievance Policy

• Grievance Policy

Handbooks

• Early Childhood, Elementary, Middle School Grad Handbook (MS Word)
• IPP/OSI Handbook (PDF)
• Practicum Handbook for Initial Teacher Licenses (PDF)
• Secondary Pre-Service Manual (PDF)
• Special Education-Graduate Handbook (PDF)

Lesson Plan Resources

• Lesson Plan Template (MS Word)
• Explanation of Terms Used in Lesson Plans (MS Word)
• Lesson Plan Rubric:
  • Lesson Plan Rubric - eForm
  • Lesson Plan Rubric - PDF
• Teacher Candidate Reflection on Practice Form:
  • Teacher Candidate Reflection on Practice Form - MS Word
  • Teacher Candidate Reflection on Practice Form - PDF
• 2017 Educator's Manual for MCAS-Alt (PDF)

Pre-Practicum, IPP and OSI documents

• Diversity Policy for Field Placements (MS Word)
• Documentation of Field Based Activities (MS Word)
• Observation Report Form (PDF)
• Partial IPP Practicum Report (PDF)
• Placement Schools (PDF)
• Pre-Practicum Guidelines (MS Word)
• Pre-Practicum Online Request Form
• Pre-Practicum Report Form:
  • Pre-Practicum Report Form - PDF
  • Pre-Practicum Report Form - eForm

Practicum Orientation

• Practicum Experience Introduction (MS PowerPoint)
• Practicum Experience CAP Process (MS PowerPoint)
• Practicum CAP Evidence Binder (PDF)
  • Lesson Plan Rubric Aligned with Essential Elements (PDF)
  • CAP Table of Contents Sample for Option 1 (PDF)
  • CAP Table of Contents Sample for Option 2 (PDF)
  • Selection of Artifacts for Essential Elements (PDF)
  • Evidence Binder Artifact Prompts (MS Word)

Practicum Forms

• At Risk Teacher Candidate Action Plan:
  • At Risk Teacher Candidate Action Plan - eForm
  • At Risk Teacher Candidate Action Plan - PDF
  • At Risk Teacher Candidate Action Plan - MS Word
• Candidate Disposition:
  • Practicum eForm
  • Practicum PDF
• CAP Baseline Assessment Form:
  • CAP Baseline Assessment Form - eForm
  • CAP Baseline Assessment Form - PDF
  • CAP Baseline Assessment Form - MS Word
• CAP Rubric - MS Word
• Candidate Finalized Professional Practice Goal:
  • Candidate Finalized Professional Practice Goal - eForm
  • Candidate Finalized Professional Practice Goal - PDF
  • Candidate Finalized Professional Practice Goal - MS Word
• Candidate Preliminary Goal Setting:
  • Candidate Preliminary Goal Setting - PDF
  • Candidate Preliminary Goal Setting - MS Word
• Candidate Professional Practice Entry into Profession - MS Word
• Candidate Self Assessment and Summary:
  • Candidate Self Assessment and Summary - eForm
  • Candidate Self Assessment and Summary - PDF
  • Candidate Self Assessment and Summary - MS Word
• Candidate Self Reflection Form:
  • Candidate Self Reflection Form - eForm
  • Candidate Self Reflection Form - PDF
  • Candidate Self Reflection Form - MS Word
• Documentation of Practicum Hours - MS Word
• Lesson Plan Practicum Rubric (PDF)
• Observation Form CAP:
  • Observation Form CAP - PDF
  • Observation Form CAP - MS Word
• Post-Conference Observation Form:
  • Post-Conference Observation Form - eForm
  • Post-Conference Observation Form - PDF
  • Post-Conference Observation Form - MS Word
• Pre Conference Observation Form:
  • Pre Conference Observation Form - eForm
  • Pre Conference Observation Form - PDF
  • Pre Conference Observation Form - MS Word
• Reading Specialists (PPA) (MS Word)
• Teacher Work Sample (MS Word)
• Renaissance Partnership Teacher Work Sample (PDF)

School Counselor

• School Counselor PPA Cover Page (MS Word)
• School Counselor PPA Evidence Pages (MS Word)
• School Counselor Work Sample (MS Word)
• School Counselor MARC Jr (MS Word)
• School Counselor Candidate Disposition (PDF)

Stage Review

• Assessment Stages
• Undergraduate Stage Review (PDF eForm)
• Graduate Stage Review for Licensure Programs (PDF)
• Graduate Stage Review—Initial Licensure (PDF eForm)

Tk20-Student Resources

• Tk20
• Application for Practicum Instructions (MS Word)
• Completing an Assignment - Candidate Instructions (PDF)
• Recording of Pre-practicum Hours (PDF)

Tk20-Faculty Resources

• Faculty Guidelines (PDF)