Science Education
Undergraduate Student Teaching Clearance Form
Queen's College Department of Secondary Education
and Youth Services
This form is a check sheet to ensure that students have completed requirements and competencies as stated in the Queens College Undergraduate Bulletin and expected by the SEYS Department.
Date:_________________
Name:___________________________________________
(last) (first) (middle initial) Student ID:____________
Address:_________________________________________ Phone:________________
________________________________________________ E-mail:_______________
(city) (state) (zip code)
Major: _______________
Major Course Information: Request a transcript from
SEYS staff. List major courses, titles,
semester enrolled, grades, and credit hours.
Calculate your major grade point average (GPA). To calculate your GPA, (a) multiply grade
points* (see below) by the credit hours, (b) add this figure together for all
major courses, (c) divide by the total number of credit hours you earned.
Course Grade
points multiplied
Number Title Semester Grade Credits by credit hours
1._____ __________________ _______ __ _____ __3__ ______ x 3 = _________
2_____ __________________ _________ _____ _____ ______ x 3 = _________
3_____ __________________ _______ __ _____ _____ ______ x 3 = _________
4_____ __________________ _________ _____ _____ ______ x 3 = _________
5_____ __________________ _______ __ _____ _____ ______ x 3 = _________
6_____ __________________ _________ _____ _____ ______ x 3 = _________
7_____ __________________ _______ __ _____ _____ ______ x 3 = _________
8_____ __________________ _________ _____ _____ ______ x 3 = _________
9._____ __________________ _______ __ _____ _____ ______ x 3 = _________
10____ __________________ _________ _____ _____ ______ x 3 = _________
11____ __________________ _______ __ _____ _____ ______ x 3 = _________
12____ __________________ _________ _____ _____ ______ x 3 = _________
13____ __________________ _______ __ _____ _____ ______ x 3 = _________
TOTAL:_____________
Divide by TOTAL CREDIT HOURS:_____ = _________ (Major GPA)
*Grade points are A: 4; A-: 3.7; B+: 3.3; B: 3; B-: 2.7; C+: 2.3; C: 2; C-: 1.7; D+: 1.; D: 1
Minor Course Information: List minor courses, titles
semester taken, grades, and credit hours.
Calculate your minor GPA in the same way as the major GPA.
Course Grade
points multiplied
Number Title Semester Grade Credits by credit hours
1._____ __________________ _______ __ _____ __3__ ______ x 3 = _________
2_____ __________________ _________ _____ _____ ______ x 3 = _________
3_____ __________________ _______ __ _____ _____ ______ x 3 = _________
4_____ __________________ _________ _____ _____ ______ x 3 = _________
5_____ __________________ _______ __ _____ _____ ______ x 3 = _________
TOTAL:_____________
Divide by TOTAL CREDIT HOURS:_____ = _________ (Minor GPA)
English Requirement: List the semester you took
the following English courses, and the grade you received. Please circle the appropriate course.
Calculate
Semester Grade Credits
English GPA
English
110/ACE 001/ SEEK 101 & 102 _________ ____ _____ ______
x ___ = _____
English
120/ACE 120 and 140 _________ ____ _____ ______ x ___ = _____
Check-Off
Questions for Student Teaching. Circle or
answer.
1. Have you declared your major and minor? This is required for acceptance. Y N
2. Will you have all your major courses completed at the end of the current
semester? If not, how many major credits remain? ____
3. What is your GPA in the major? (2.75 GPA is required to student teach) ____
4. Which courses have you not yet taken in education?________________________
_________________________________________________________________
5. What is your GPA in education courses? (3.0 is required) ____
6. What is your GPA in English courses? (C+ minimum is required) ____
7. Do you have any incomplete grades? Y N
(These must be completed before student teaching)
8. Have you completed the white medical card within the last two years Y N
and submitted it to the Secondary Education Office? (Also required)
10. What is your overall GPA? (If it is below 2.753/15/2010 you are at risk). ____
11. How many credits will you be taking in addition to student teaching
next Spring semester? ____
(A maximum of 7 credits in addition to student teaching is permitted)
Cleared by:___________