Prerequisites: TX State GPA of 2.50, “C” or better in all Core (CI3310, CI3315/3325, RDG 4320), as well as, ENG 1310, 1320, & MATH 1315 or 1319.

**IMPORTANT**
Criminal Background Check - School Districts will perform criminal background checks on all Texas State students entering their schools. Please be aware if something in your history shows up the School District has the right to deny your entrance to the school. If you have any questions or concerns please contact the CI Department.

All- Level SPED students: You must take 2 blocks in 2 separate semesters. Select one from the elementary choices or one from the high school choices. DO NOT SELECT A MIDDLE SCHOOL BLOCK.

Date
Name
Student ID#
E-Mail (You will be contacted via email with your block placement)
Phone
All Applicants: Please indicate your preferences by marking your 1st, 2nd, 3rd, 4th, & 5th choices.
Preference	Block Name
first second third fourth fifth select	BLANCO VISTA, KYLE, MW 8-3:30, BVE
first second third fourth fifth select	CROCKETT, SAN MARCOS, MW 8-3:30, CROC
first second third fourth fifth select	TOBIAS, KYLE, MW 8-3:30, TOBI
first second third fourth fifth select	ELM GROVE, KYLE, TTH 8-3:30, ELM
first second third fourth fifth select	NORMA KRUGER, MARION, TTH 8-3:30, NKE
Comments:	In the space below, please provide pertinent information needed for consideration of a specific block.
Please list the classes that you have remaining prior to student teaching: