1. I understand that the Office of Professional Services (OPS) staff will process my application for my Summer Practicum I or Practicum II placement.    Only applications submitted by 5:00 PM on February 1 will be processed.  No exceptions.

2. I understand that all requirements must be met and all documents submitted in a complete packet to the OPS by February 28.  The required items include:

•  Criminal Background Check (unless previously submitted for prior placement)                                                      

•  Tuberculosis Test Results (the test results provided must be dated within the current academic year)

•  Automobile Insurance Form (unless previously submitted for prior placement)

3. I am aware that school districts may have additional applications, forms, and requirements that I must complete in addition to those required by OPS.  Additional fees may be incurred.

4. I understand that in order to apply for Practicum II, I must be admitted to the Teacher Preparation Program by February 28.

5. I understand that I must have all holds removed from my academic record before I can be registered for Practicum I or Practicum II.  Students may not register themselves for Practicum I and Practicum II.

6. I understand that placement requests will be sent to school districts only for students who meet all requirements listed above by February 28.

7. I understand there are tuition and course fees involved in completing the Practicum I and Practicum II.   Please refer to the Summer School tuition and fee rates available on “My Longwood.”  http://www.longwood.edu/studentaccounts/tuitionfees.htm#undergradsum-off.

8. I understand that I will receive a bill from the cashiering office after my registration is processed.  I will direct any questions regarding fees associated with Practicum I and Practicum II to the Cashiering Office.

9. I understand that if I decide not to complete this Practicum I or Practicum II placement, I must notify the OPS IN WRITING to request official cancellation.   I may be assessed a cancellation fee through the OPS in addition to any fees required by the University.  Notifying any other Longwood University office, staff member, or faculty member instead of the OPS will NOT constitute official cancellation of this Practicum placement.

10. I understand that I must attend the mandatory meeting with my University Supervisor. The date and time of this meeting will be announced.  

11. I agree to read the applicable section of the Field and Clinical Experience Handbook prior to the mandatory meeting with my University Supervisor.     http://www.longwood.edu/cehs/Office%20of%20professional_services/PRACTICA_MANUAL-2008.doc  

12. I understand that it’s against Longwood policy for me, or others on my behalf, to contact school district personnel to request a specific school, grade level, or subject area placement.

13. I understand that I must notify the OPS if I am assigned to a school where I attended and/or have a family member attending or employed.  Failure to notify the OPS may result in the cancellation of my placement and may result in a grade of incomplete.

14. I understand that if I do not comply with Longwood standards or those of the school in which I’m assigned, my placement may be terminated and a grade of F may be earned.

15. I acknowledge receipt of this Practicum Covenant Agreement. If I do not understand these statements, it is my responsibility to seek clarification from appropriate academic, administrative, or staff personnel.  Current information can be obtained on the OPS website. I understand that failure to seek clarification will not absolve or excuse me from being held accountable for the information, deadlines, and requirements of this agreement.

(Please print and submit with required documents)