COOPERATING TEACHER INFORMATION FORM
DEPARTMENT OF EDUCATION
EAST CENTRAL UNIVERSITY
1100 East 14th Street
Ada, Oklahoma 74820
Please complete and submit information form online in order to support the Student Teacher Placement process for the upcoming semester.
Incomplete submissions cannot be processed.
Information regarding gender, ethnic origin and race are optional. The information is requested to support documentation of diversity items related to field placements for our candidates.
If you have questions, please contact the Director of Field Experiences and Student Teaching:
Director, Student Teaching and Field Experience
East Central University
1100 E. 14th St.
By signing (typing your legal name) in the space below, you are certifying that all information is correct and that you are the person completing this form.
Please print for your records and retain as verification of your submission.