TEXAS A&M UNIVERSITY-TEXARKANA
Teacher Preparation Program
(903) 223-3044

Cooperating Teacher Data Form

Cooperating Teacher: Please complete all blanks below. This information is required. Please do not use nicknames.

Student Teacher's Name
     
  Student's Name:      
     

Cooperating Teacher Information
     
  Cooperating Teacher's Name:      
  Campus:      
  Email Address:      
  Phone Number:      
  District:      
  Grade Level(s)/Subject(s) Taught:      
  When did you attend Co-Teaching     
Training?:    
 
     


Cooperating Teacher Commitment Agreement
     
 


 
 

State law requires that you be informed of the following: (1) you are entitled to request to be informed about the information about yourself collected by use of this form (with a few exceptions as provided by law); (2) you are entitled to receive and review that information; and (3) you are entitled to have the information corrected at no charge to you. For more information see our Privacy Statement.