University Supervisor Preference Sheet School of EducationTeacher Preparation OfficeResources for Teacher Preparation Office PartnersUniversity Supervisor Preference Sheet Skip local navigation Sub-Navigation Menu Home Teacher Preparation Team COVID-19 Updates Candidate Dispositions College Verification Form Instructions Content Area (Endorsement) Review Emergency First Aid, CPR, and Use of AED Certification or Training Find my advisor Initial Licensure Professional Standards Internship Testing Requirements Job Opportunities Licensure Application Instructions Professional Dispositions Resources for Teacher Preparation Office PartnersCurrent University Supervisors Prospective University Supervisors University Supervisor Preference Sheet Mentor Teachers and Site Facilitators Student Field Experience Student Internship Student Success Resources Teacher Candidate Performance Reporting First name: Last name: Email: G number: Race: American Indian or Alaska Native Asian Black or African American Native Hawaiian or Other Pacific Islander Hispanic or Latino White Two or more races Race/ethnicity Unknown Do Not Choose to Respond Current Address: City: State: AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NE NH NJ NM NV NC ND NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY Zip: Home Phone: Cell Phone: Semester: Fall Spring Summer Year: University Supervisor Preferences and Qualifications: 1. I am interested in supervising interns in the following grade levels: Pre-K Elementary Middle High 2. I am interested in supervising interns in the following programs: EDCI 790: Biology Chemistry Earth Science Elementary Education English History/Social Studies ESL Foreign Language: Arabic Foreign Language: Chinese Foreign Language: French Foreign Language: German Foreign Language: Japanese Foreign Language: Latin Foreign Language: Russian Foreign Language: Spanish Math Physics EDSE 790: Special Ed: General Curriculum Special Ed: Adapted Curriculum Special Ed: Visual Impairment Special Ed: Applied Behavior Analysis ECED 790: Early Childhood Education PreK-3 (EPK3) EDSE 793/ECED 791: Early Childhood Special Education (ECSE) THR 455/THR 555: Theatre 3. I have teaching experience/endorsements in the following areas: 4. I am willing to supervise students. [Please provide number between 3 (minimum) and 6 (maximum).] 5. I am willing to supervise in the following region(s): Alexandria City Arlington City Fairfax County Falls Church Fauquier County Fredericksburg Loudoun County Manassas City Manassas Park Prince William County Stafford County Washington DC Other