Endorsement Field Requirement Form

*required for students beginning endorsement programs AU17 or after

For PDF version, please email tles@osu.edu

Endorsement Type	Age Group/Content Area
Early Childhood Generalist	Grades 4 and/or 5
Middle Childhood Generalist	1 or 2 Subjects corresponding with the endorsement in which you are pursuing: Mathematics Reading & Language Arts Science Social Studies
Bilingual
TESOL	TESOL

Students can fulfill the Field Requirement through one of the following options:

• OPTION 1: Pre-service and in-service teachers may provide a signed page two of the Endorsement Field Requirement Form from your direct supervisor* (i.e., principal, building supervisor, mentor teacher) explicitly stating that you have completed at least 50 field hours with students in the appropriate grades or content areas (see table above). Students enrolled in a degree program (M.Ed. or B.S.Ed.) at OSU, will not be permitted to register to utilize any field hours prior to enrollment in TLTED 4189 for this requirement.
  • *Students that are in-progress or have completed a Bachelor of Education in Early or Middle Childhood Education on a regional campus (Newark, Mansfield, Marion, or Lima) can submit proof of the appropriate contact hours by completing page two of the Endorsement Field Requirement Form providing a signature from their academic program area representative.
• OPTION 2: Successfully complete 50 field hours in TLTED 5189.XX: Early Childhood (5189.11), Middle Childhood Generalist (5189.22), TESOL Endorsement (5189.66), or Bilingual Endorsement Field Experience (5189.33); 1 credit hour. **
  • **Students completing coursework regionally should note that registration for TLTED 5399 will result in a field placement in proximity to whichever campus on which they register.

Confirmation Letter Field Experience Form Template (Only required for Option 1)
 
Please copy the letter template below onto your school’s letterhead and return a copy to:
tles@osu.edu. If you would prefer a PDF copy, please email tles@osu.edu. 

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This letter confirms that the student listed in this document completed a minimum of 50 field hours for their endorsement. 
 
Student Full Legal Name:     

Student Date of Birth (mm/dd/yyyy):

OSU username (last name.#) (if applicable):

Type of Endorsement:
 
Current teaching license specialization or area:
 
License number (if applicable):
 
Section to be completed by the designated endorsement supervisor
 
My signature below confirms the following:

I am the current/former supervisor for (insert name of student):

If former supervisor, please provide student dates of employment: (mm/dd/yy-mm/dd/yy)

Who has completed (Total Number of Hours) field hours between the dates of (mm/dd/yy-mm/dd/yy) with students in one or more of the grades/content areas (list all that apply below):

Supervisor Signature:

Printed Supervisor Name:

Phone Number:

Date Signed (mm/dd/yy):

Name of School:

School District:

Student Signature:

Printed Student Name:

Date Signed (mm/dd/yy):