Please select your enrollment status:

----Select---- Undergraduate/Licensure Only Regional Alternative Licensure Center Graduate Student

Please select the semester & enter the 4 digit year in which you plan to student teach:

---------Select----------- Fall Spring Year

Ar you a public school employee?

SECTION B: Complete the information below for all previous field experience placements.

School Name -------Select One-------- ---ANSON COUNTY---- Anson Challenge Academy 7-12 L01 Anson High 9-12 L02 Anson Middle 7-8 L04 Ansonville Elementary P-K-6 L03 Lilesville Elementary K-6 L06 Morven Elementary PK-6 L07 Peachland-Polkton Elementary K-6 L08 Wadesboro Elementary 4-6 L09 Wadesboro Primary K-3 L05 -----BLADEN COUNY------ B.T. Washington Primary PK-5 A01 Bladen Lakes Primary PK-5 A05 Bladen Middle 6-8 A02 Bladenboro Primary PK-4 A04 Clarkton School of Discovery 6-8 A06 Dublin Elementary PK-5 A07 East Arcadia Elementary PK-8 A08 East Bladen High 9-12 A09 Elizabethtown Primary PK-4 A10 Plain View Primary PK-5 A11 School of Extended Hope 6-12 A14 Tar Heel Middle 6-8 A13 West Bladen High 9-12 A03 -----COLUMBUS COUNTY--- Acme-Delco Elementary PK-5 B01 Acme-Delco Middle 6-8 B02 Boys & Girls Home 3-8 B21 Cerro Gordo K-8 B03 Chadbourn Elementary K-4 B04 Chadbourn Middle 5-8 B05 East Columbus 9-12 B19 Evergreen K-8 B07 Fair Bluff K-8 B07 Guideway K-8 B09 Hallsboro Middle 5-8 B11 Hallsboro-Artesia Elementary K-4 B10 Nakina Alternative 6-12 B22 Old Dock K-8 B13 South Columbus 9-12 B18 Tabor City Elementary K-5 B15 Tabor City Middle 6-8 B14 West Columbus 9-12 B16 Williams Township K-8 B17 --Cumberland County---- Anne Chestnutt Middle 6-8 C13 Auman Elementary K-5 C51 Bill Hefner Elementary K-5 C72 Brentwood Elementary PK-5 C07 C Wayne Collier Elementary PK-5 C71 Cliffdale Elementary PK-5 C14 E Melvin Honeycutt Elementary K-5 C73 E.E. MIller Elementary K-5 C70 ED V Baldwin Elementary PK-5 C31 Gallberry Farm Elementary K-5 C83 Gray's Creek Middle 6-8 C87 Hope Mills Middle 6-8 C30 Lewis Chapel Middle 6-8 C32 Rockfish Elementary K-5 C49 Seventy-First High 9-12 C52 South View High 9-12 C55 South View Middle 6-8 C54 ------Fort Bragg-------- Albritton Jr. High 7-9 D01 Bowley Elementary PK-4 D02 Butner Elementary PK-4 D03 Devers Elementary PK-4 D09 Holbrook Elementary PK-4 D04 Irwin Middle 5-6 D05 McNair Elementary PK-4 D06 Murray Elementary PK-4 D07 Pope Elementary PK-4 D08 --------Hoke County------- East Hoke Middle 6-8 E06 Hoke High 9-12 E01 J.W. McLauchlin K-5 E02 Rockfish Hoke Elementary K-5 E08 Sandy Grove Elementary K-5 E12 Scurlock PK-5 E04 South Hoke PK-5 E05 Turlington 6-12 E10 Upchurch Elementary K-5 E09 West Hoke Middle 6-8 E03 West Pine Middle 6-8 E11 ----Montgomery County-- Anchor Alternative K-12 M01 Candor Elementary PK-5 M02 East Middle 6-8 M07 East Montgomery High 9-12 M09 Mt. Gilead Elementary PK-5 M03 Page Street Elementary 3-5 M11 Star-Biscoe Elementary PK-5 M05 Troy Elementary PK-5 M06 West Middle 6-8 M08 West Montgomery High 9-12 M10 ----Moore County----- Aberdeen Elementary 3-5 J01 Aberdeen Primary PK-2 J23 Academy Heights K-5 J21 Cameron K-5 J03 Carthage K-5 J04 Elise Middle 6-8 J05 Highfalls K-8 J06 MCSAT (Vocational) J24 Moore Central Alternative 6-12 J19 New Century Middle 6-8 J20 North Moore 9-12 J07 Pinecrest 9-12 J08 Pinecrest Elementary K-5 J09 Robbins Elementary PK-5 J11 Sandhills Farms Life Elementary K-5 J14 Southern Middle 6-8 J26 Southern Pines Elementary 3-5 J12 Southern Pines Primary PK-2 J25 Union Pines 9-12 J15 Vass-Lakeview PK-5 J16 West End Elementary PK-5 J17 West Pine Middle 6-8 J22 Westmoore K-8 J18 ---Richmond County---- Ashley Chapel 4-6 F01 Cordova K-6 F02 Ellerbe 6-9 F03 Fairview Heights K-3 F04 Hoffman K-6 F06 L.J. Bell K-3 F08 Leak Street 6-9 F17 Mineral Springs K-5 F09 Monroe Avenue 4-6 F10 Richmond PrimaryK-3 F18 Richmond Sr. High 10-12 F11 Roberdel Child Center SP-ED F12 Rockingham Jr. High 7-8 F13 Rohanen Jr. High 7-9 F14 Rohanen Primary PK-3 F15 Washington Street 4-6 F07 West Rockingham K-6 F16 ----Robeson County----- Carroll Middle 5-6 G32 CIS Academy K12 Deep Branch PK-6 G01 East Robeson PK-3 G02 Fiargrove Middle 4-8 G03 Fairmont 9-12 G29 Fairmont Middle 5-8 G30 Green Grove Elementary PK-3 J.C. Hargrave Elementary PK-4 G31 Littlefield Middle 4-8 G06 Long Branch Elementary PK-4 G07 Lumberton Jr. 7-8 G36 Lumberton Sr. 9-12 G33 Magnolia Elementary PK-8 G08 Orrum Middle 5-8 G09 Oxendine Elementary PK-6 G10 Parkton Elementary PK-8 G11 Pembroke Elementary PK-5 G12 Pembroke Middle 6-8 G14 Peterson Elementary PK-4 G39 Piney Grove Elementary PK--6 G15 Prospect Elementary PK-8 G17 Purnell Swett High 9-12 G27 R.B. Dean Elementary PK-4 G18 Red Spring High 9-12 G41 Red Spring Middle 5-8 G40 Rex-Rennert Elementary PK-8 G19 Robeson County Career Center 9-12 G05 Rosenwald Elementary PK-4 G28 Rowland Middle 6-8 G20 Rowland Norment Elementary PK-4 G34 South Robeson High 9-12 G21 Southside/Ashpole Elementary PK-5 G23 Saint Pauls Elementary PK-5 G42 Saint Pauls High 9-12 G44 Saint Pauls Middle 6-8 G43 Tanglewood Elementary K-4 G37 Townsend Middle 5-8 G24 Union Chapel Elementary PK-6 G25 Union Elementary PK-6 G26 W.H. Knuckles PK-4 G35 West Lumberton PK-4 G38 ----Scotland County----- Carver Middle 6-8 H16 Covington Street PK-5 H03 East Laurinburg (Alternative) UN-GR H04 I Ellis Johnson Elementary PK-5 H02 Laurel Hill Elementary PK-5 H06 North Laurinburg Elementary PK-5 H07 Pate Gardner Elementary PK-5 H08 Scotland Accelerated PK-4 H01 Scotland High 9-12 H09 Shaw Elementary 4-5 H10 South Scotland Elementary PK-5 H11 Spring Hill Middle H15 Sycamore Lane Middle 6-8 H12 Wagram Primary PK-3 H013 Washington Park Elementary PK-5 H14 ----Whiteville City----- Central Middle 6-8 I01 Edgewood Elementary 3-5 I05 North Whiteville Alternative Acad 6-12 I06 Whiteville City High 9-12 I03 Whiteville City Primary PK-2 I04 --------BK Other-------- Cape Fear Hospital K01 First Baptist Early Chaildcare K03 Moore Regional Hiospital Child Dev. K05 Pope Air Force Base Child Dev. K06 Children's Development Center K08 Shinning Stars Preschool - Pembroke K09 Shining Stars Preschool - Lumberton K10 Sandhills Children's Center K11 CIS Academy K12 Cape Fear Children's Center K15 Children's Development Services Agency K16 Cottonwood Pre-Elementary K17 Fayetteville Tech Childcare Center K18 Prager Child Development Center K19 Rennert Head Start K20 River Common Head Start Village K21 Sandy Plains UMC Day Care Center K22 Womack Army Medical Center ( Educational and Developmental Intervention Services) K23 Woamck Army Medical Center ( peddiatric Evaluation and Treatment Team) K24 Wonder Years K25 ----Other-----