Fall 2016 Initial Licensure Internship Application
Last Name, First Name
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UMW Email Address
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Please note your program of study in which you are completing for initial licensure:
5 year pathway
Endorsement Area
English
Foreign Language- French
Foreign Language- German
Foreign Language- Latin
Foreign Language- Spanish
History & Social Sciences
Mathematics
Music Education pK-12: Instrumental
Music Education pK-12: Vocal/ Choral
Science- Biology
Science- Chemistry
Science- Earth Science
Science- Physics
Special Education K-12: General Curriculum
Special Education K-12: Adapted Curriculum
Theatre Arts pK-12
Visual Art pK-12
Address where you will live during the Fall 2016 term, ie- Fredericksburg City, Stafford County, on campus, Culpeper, etc...
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Elementary Education
pK-6
Please list your elementary specialization (SPED, literacy, Math, etc.)
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What is your grade preference for the semester-long intern placement: K-1, 2-3, 4-5?
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Please list ALL of your practicum placements. Include school division, school, grade(s), and subjects (if not elementary).
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Submit
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