Request Form for Field Placement

Students may take only one field experience per semester. Please check the field experience you need and the course for that field experience. 

You must allow sufficient time during a typical student school day (8:00am—2:30pm) in order to complete your required field hours.  Often travel times on public transportation can take up to 45 minutes each way.
Select Semester
Select course(s) for which you need a field placement
This form is only used for field placements, not for Service Learning or Reading Embedded Placements.
My education major is:
My content major is:
My minor is:
In making my field placement, please consider the following (check one)
You must allow sufficient time during a typical student school day (8:00 am—2:30 pm) in order to complete your required field hours.  Often travel times on public transportation can take up to 45 minutes each way.
Note: We cannot always guarantee that requests will be granted. Once a placement is made, based on above information, we will not be able to honor your request for a change.