Forms

ADVANCED pROGRAMS lICENSURE AND nON-lICENSURE fORMS AND dOCUMENTS

Please fill out any relevant form in its entirety. No form will be processed if all the required fields are not completed. Thank you for your support in this matter.

LICENSURE FIELD EXPERIENCES

Instructions for Completing a Level l and Level ll Application

• Level I Application
• Level II Application
• Level lll Application
• Level I Handbook
• Level II Handbook
• Level III Handbook
   

---

Graduate Field Experiences

• School Counseling Graduate Internship Application
• Rehabilitative Counseling Graduate Internship Application
• Virginia Beach Public School Administrative Placement Request Form
• Administration and Principal Preparation Graduate Internship Application

LICENSURE STUDENTS ADDITIONAL FORMS

• House Bill One Waiver - for All Participants
• COVID-19 Acknowledgement of Risk Form
• Chesapeake Public Schools Student Teaching or Field Experience Request Form
• Norfolk Public Schools Student Teacher or Practicum Placement Request Form
• Suffolk Public Schools Field Based Experience Request Form
• Virginia Beach Public Schools Network Agreement Form
• Virginia Beach Public Schools Student Observation Practicum Request Form
• Virginia Beach Public Schools Student Teaching Guidance Request Form

• Hampton Public Schools 40 Hours or more Additional Fingerprinting and TB Proof
• Newport News Public Schools Background Check Information

---

Non-Licensure Field Experience Forms

• Non-Licensure Field Experience Application
• Department of Social Services Sworn or Affirmation for Child Day Programs
  Must Be Submitted With Any Virginia Child Care Application
• Application for Placement at NSU Preschool Academy by OCESS

---

teacher education application

• Application for Admission to Teacher Education
• Evaluation of Dispositions Form

Request one (1) NSU faculty member outside of Elementary Education & Special Education (EESE) & Secondary Education and School Leadership (SESL) Departments completes a Evaluation of Dispositions Form.  Send the form link to your selected evaluator https://forms.office.com/r/mMDCq1QdwF and include your full legal name, NSU Student ID number, Academic Department, Academic Program, and NSU email address.

Non-Licensure Education Process

• Non-Licensure Admission to Teacher Education Program
• Non-Licensure Teacher Education Application Recommendation Form
• Non-Licensure Programs Culminating Practicum Application
• Non-Licensure Handbook
• Background Verification Form: Addendum
• Essay Rubric
• Disposition Rubric

---

Non-Licensure cooperating teacher forms

• Classroom Observation Evaluation

• Lesson Evaluation and Comment Sheet 
• Student Teaching Log Summary
• Self-Assessment of Formal Lesson Plan Lesson Plan Guidelines

non-licensure university supervisor forms

• Midterm/Final Observation
• Classroom Observation Evaluation