Application for Educator Licensure and Preparation Program

Elementary Program (Grades 1–6)

Cell phone
Campus phone
Year of graduation
Overall GPA
Education GPA
Please check all core licensure classes (or approved equivalent) that you have completed thus far:
EDC 211 Sheltering Instruction
EDC 235 Child and Adolescent Growth and Development
EDC 238 Intro to the Learning Sciences
EDC 338 Children Learning to Read
EDC 347 Individual Differences Among Learners
Student teaching typically involves teaching three mornings each week, for both semesters. In most cases, one semester will be spent at the Smith College Campus School, and the other in a local public elementary school.

This schedule usually operates on either a Monday, Tuesday, Wednesday OR Wednesday, Thursday, Friday basis, from 8 a.m. to 12:45 p.m.

Although this cannot be guaranteed, please indicate a schedule preference below if you have one, along with an explanation for this request.
Monday, Tuesday, Wednesday
Wednesday, Thursday, Friday
No preference
Explanation of the request
Will you have a car available for your use while student teaching?
According to your records what courses do you have left to take— in education, your major (outside of education), and subject matter courses (for licensure)?
Please list all experiences that you have had working with children, including those conducted as part of your service learning/prepracticum requirements in Smith College classes.
Experience 1
Details of placement
Experience 2
Details of placement
Experience 3
Details of placement
As you potentially approach a student teaching experience, what do you see as your strengths as a future educator, and which areas do you think will be important areas to work on?

Next steps for completion of application and acceptance into preparation program:

  1. Immediately upon submitting this application, you must send an up-to-date unofficial transcript copy to and
  2. Your adviser within the department and the coordinator of teacher education will initially review your application and your progress towards licensure requirements
  3. You will be asked to attend an interview with members of the department, at which you will also be asked to perform a ten-minute mini lesson, appropriate to the subject area and grade range that you wish to teach.

Please print this page before sending it to the Department of Education and Child Study so that you have a copy for your records.