Secondary Clinical Experience Information Form

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Secondary Clinical Experience Information Form

This form is used to inform the Office of Field Experience of your 2 hour time block choices for your upcoming Secondary Clinical Experience. Please look carefully at your schedule and try to only submit this form one time!

Students must plan for a 2 hour block of time each day. The clinical experience is a school-based field experience that meets the same class period each day. The 2 hour block of time allows for travel/parking time and is flexible in matching district and university schedules.

Please carefully fill out this form and submit any questions to the Office of Field Experience (OFE) at ofe-studentteaching@uwosh.edu or by calling 920-424-3323.

Home Address Knowing this will help us determine where you may be placed.
Major   Please select all that apply.
Transportation   Do you have your own means of transportation?


Placement Level   Please tell us your preference (your actual placement may not reflect your preference). This placement impacts the placement level for your student teaching placement.


Parochial School Placement   Are you willing to be placed in a parochial school?


Placement Location   If an Oshkosh placement is unavailable would you be able to take an assignment in another local school district?


Alternative Location If you answered "Yes" to the above question please let us know which alternate local school district you would like your placement in for this clinical experience.






Scheduled Time Blocks Students must plan for a 2 hour block of time each day. The clinical experience is a school-based field experience that meets during the same class period each day. The 2 hour block of time allows for travel/parking time and flexibility in matching district and university schedules.
Choices for 2 Hour Time Blocks   Please indicate which 2 hour time block will fit your schedule. Keep in mind that the some schools begin their day earlier than 8 AM and many have lunch hours that start as early as 11:00 AM. These factors will affect the respective time blocks.





Prior to submitting make sure that all required fields are completed and correct!

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