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  4. Field Experience Request Form (FERF)

Field Experience Request Form (FERF)

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The Field Experience Request Form (FERF) is only open for Summer 2024 field experience requests.



STOP:

If you are taking a course from the special education program or elementary education program (this does not include early childhood special education), DO NOT complete this Field Experience Registration Form (FERF). Please ask you professor FIRST about how you should request your field placement.

Directions:

  1. Before completing the form below, please review the field experience placement policies and procedures by clicking here. You are responsible for following all of the policies and procedures related to field experience completion.
  2. The deadline for fall placements is September 15, and the deadline for spring placements is February 15.
  3. You must include ALL of your courses that will require field experience this entire semester
  4. Enter your current address where you live while going to school.
  5. Do NOT contact any schools (public or private) or otherwise solicit field experience placements from educators you may know professionally.
  6. All fields marked with an * are required fields.

Student Information

G [?]












Course Information

Please select ALL classes that require a field experience for this entire semester below.





Endorsement Area: please indicate your endorsement area*

(you will be allowed to observe in ONLY one grade setting unless your syllabus says otherwise)




Select a level preference:








Select a level preference:









Select a cohort:



Select a placement type:


Please select, below, how your placement will be arranged. *

Please select an option below. While the CPS will take your selection into consideration when making your placement, specific location preferences and specific school districts are not guaranteed. *

Select one of the following:






Select one of the following:


Placements are arranged in conjunction with the LCPS HR Office. The CPS will follow up with you regarding the next steps in the placement process.

- please fill in your preference and then follow up with the CPS at fieldexp@gmu.edu.


Are you an employee of the district you selected above (ex. substitute or hourly)?*
Have you completed a field placement in this district before?*




Do you have the permission of your course instructor and your building manager to complete your field hours in this location?*




Do you have the permission of your course instructor and your principal to complete your field hours in this location?*

Fields marked with * are required.


A Note to Students Regarding Your Contact Information and FERPA:

Student contact information is requested here solely for the purpose of facilitating your field experience placement in a timely manner and proximate school location. By submitting a request via this form, students affirmatively acknowledge that their contact information (name, phone number, email, and/or address) may be shared with school personnel for facilitating such placements and communications regarding those placements.

Once you click on the “submit” button below, you should receive an email confirmation for your records. If you do not receive an email confirmation within one hour of submitting the form, check your junk/spam folder. If you do not receive a confirmation, you did not give your correct email address. You will need to resubmit your form.

If you need to make any changes after your form has been submitted, you will need to contact the Clinical Practice Coordinator at fieldexp@gmu.edu and she will make the updates for you.

If you have any questions, please email fieldexp@gmu.edu. Thank you.