School and Community Experiences - Cooperating Personnel Information Request

School and Community Experiences - Cooperating Personnel Information Request

* indicates a required field.

Step 1 of 2: Applicant Information

* First Name
* Last Name
* Email
(If you have previously had a student please make sure you use the same email address that you used before.)
* Application Year
* Application Type (options have changed)
* School Name (not district name)Search (Hit TAB to perform search):
To find your school, type any part of the name in the Search box and hit the TAB key.
* Grade level you currently teach or anticipate teaching during the application year
* Content areas/courses you currently teach or anticipate teaching during the application year
Check this box if you’ve previously been a cooperating teacher at UIUC


Created ByCreated DateModified ByModified Date




Clicking on the Submit button completes Step 1, please watch your inbox for an email with instructions to complete Step 2.