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:___________