First Name *

Middle Initial *

Last Name *

G-number *

Phone *

GVSU Email *

Street Address *

City *

State/Province *
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Zip/Postal *

Please select your Student Teaching Internship program level: *
Elementary
Secondary
Special Education

Please select the semester of your Student Teaching Internship: *
Fall
Winter

Enter the Year when you will do your Student Teaching Internship semester: *

Major(s) *

Minor(s)

In 100 words or fewer, please tell us why you are interested in the opportunity to complete your student teaching internship in Battle Creek Public Schools. *