School Partner Request Form | Wheelock College of Education & Human Development

Name*

First Last

Phone (best number to reach you)*

Email*

Administrative Title*

School Name*

District Name (NA if not applicable)*

School Website*

Grade Levels (select all that apply)*

Academic field programs you are interested in hosting (select all that apply)*

Student level you are interested in hosting at your school (undergraduate; graduate)? (select from dropdown)*

Practicum type you are interested in hosting at your school (practicum; pre-practicum)? (select from dropdown)*

Does your school have language specific requirements?*

Please describe (if applicable).

Are you an alum of BU or Wheelock?*

How many teachers on your staff are alum of BU or Wheelock?*

Does your school host students from other universities or colleges?*

Please list which ones (if applicable)

Does your school have parking available to students?*

Is your school MBTA accessible from BU Wheelock?*

Tell us why you are interested in hosting BU Wheelock students at your school.*

Is there anything else you would like to share with us about your school?

PLEASE NOTE: Supervising Practitioners must have at least three full years of experience under an appropriate Initial or Professional license and an evaluation rating of proficient or higher, under whose immediate supervision the candidate for licensure practices during a practicum.