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It delineates the essential responsibilities of the cooperating teacher, including classroom supervision, performance evaluation, mandatory conference participation, and the completion of observation forms. Additionally, it outlines contact procedures for university personnel and provides instructions for the submission of credential documentation and administrative records required for the program's oversight. The form includes sections for personal contact information and professional certification details, with a specific note regarding Kentucky state payment vouchers for eligible educators. The document establishes a clear bridge between the university's academic requirements and the practical training environment of local schools, ensuring that both parties understand their roles in the development of future educators throughout the semester.","Primary and Middle Childhood Education College of Professional Sciences  \nCOOPERATING TEACHER AGREEMENT  \nI do hereby agree to act as a cooperating teacher in grade/s    \n(also note subject areas if middle childhood)  \nto assist   during the   semester.  \n(student name) (fall, spring) of the 20   school year.  \nI agree to:  \n[1. be](1. be) available to supervise and guide the student.  \n2. have conferences with the student teacher as often as necessary relative to proficiency in the classroom.  \n3. meet with the student teacher and University personnel if requested, after each visit of the supervising teacher.  \n4. complete midterm and final CPAST conference and participate in scheduled three-way conference.  \n5. complete four observation forms (submit to supervisor) .  \n6. submit a final reference letter to the supervisor for placement in the student’s credential file.  \n7. contact Xavier University student teaching supervisor, field experience coordinator, or program faculty member if you have any questions or concerns.  \nWe are here to help whenever it is needed. Please do not hesitate to contact us.  \nThe program office phone \\# is 513-745-3795.  \nSignature:   Date:    \nPrint Name:    \n*(see note below) Social Security \\#:    \n*Home Street Address:    \n*City, State, Zip Code:   E-mail Address:   Degree:   Bachelor   Master   PhD/EdD  \nCertification:   Years of Experience:    \nSchool:    \nSchool Phone:   Principal:    \n*This optional information is used by the Commonwealth of Kentucky to pay teachers for their services to student teachers. Kentucky teachers certify that they have Kentucky Rank II status and at least four years of teaching experience. Beginning Fall Semester 2012 Kentucky will no longer offer these vouchers for out of state students.  \nPlease keep one copy for your files and submit one completed copy to Xavier University, Primary and Middle Childhood Education at 3743 Saint Francis Xavier Way, Cincinnati, OH 45207.","cbCainfJGKwh8aYu","https://ap.wps.com/l/cbCainfJGKwh8aYu","pdf",30884,"English","en",105,"# Cooperating Teacher Responsibilities\n## Administrative Requirements and Contact Information\n## Professional Certification and Compensation Data","[{\"question\":\"What are the primary responsibilities of a cooperating teacher according to this agreement?\",\"answer\":\"Cooperating teachers are expected to supervise the student teacher, hold regular conferences, participate in three-way conferences, complete midterm and final CPAST evaluations, submit four observation forms, and provide a final reference letter.\"},{\"question\":\"Who should a cooperating teacher contact if they have concerns or questions?\",\"answer\":\"Teachers should contact the Xavier University student teaching supervisor, the field experience coordinator, or the program faculty member. The program office can also be reached at 513-745-3795.\"},{\"question\":\"What is the purpose of the optional information requested at the bottom of the form?\",\"answer\":\"The information, such as Social Security number and certification status, is used by the Commonwealth of Kentucky to process payments for teachers who serve as mentors for student teachers.\"}]","Cooperating Teacher Agreement - Primary and Middle Childhood Education | PDF",1790653408,{"code":4,"msg":80,"data":81},"ok",{"site_id":74,"language":73,"slug":82,"title":65,"keywords":83,"description":66,"schema_data":84,"social_meta":138,"head_meta":140,"extra_data":142,"updated_unix":143},"cooperating-teacher-agreement-primary-and-middle-childhood-education","",{"@graph":85,"@context":137},[86,100,120],{"@type":87,"itemListElement":88},"BreadcrumbList",[89,93,95,98],{"item":90,"name":91,"@type":92,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":94,"name":9,"@type":92,"position":14},"https://docshare.wps.com/document/",{"item":96,"name":57,"@type":92,"position":97},"https://docshare.wps.com/document/general/",3,{"item":99,"name":65,"@type":92,"position":19},"https://docshare.wps.com/document/cooperating-teacher-agreement-primary-and-middle-childhood-education/430653/",{"url":99,"name":65,"@type":101,"image":102,"author":107,"headline":65,"publisher":109,"fileFormat":112,"inLanguage":73,"description":66,"dateModified":113,"datePublished":114,"encodingFormat":112,"isAccessibleForFree":115,"interactionStatistic":116},"DigitalDocument",{"url":103,"@type":104,"width":105,"height":106},"https://docshare.wps.com/thumbnails/cooperating-teacher-agreement-primary-and-middle-childhood-education/430653.png","ImageObject",300,407,{"name":63,"@type":108},"Person",{"url":90,"name":110,"@type":111},"DocShare","Organization","application/pdf","2026-10-16","2026-09-29",true,{"@type":117,"interactionType":118,"userInteractionCount":29},"InteractionCounter",{"@type":119},"ViewAction",{"@type":121,"mainEntity":122},"FAQPage",[123,129,133],{"name":124,"@type":125,"acceptedAnswer":126},"What are the primary responsibilities of a cooperating teacher according to this agreement?","Question",{"text":127,"@type":128},"Cooperating teachers are expected to supervise the student teacher, hold regular conferences, participate in three-way conferences, complete midterm and final CPAST evaluations, submit four observation forms, and provide a final reference letter.","Answer",{"name":130,"@type":125,"acceptedAnswer":131},"Who should a cooperating teacher contact if they have concerns or questions?",{"text":132,"@type":128},"Teachers should contact the Xavier University student teaching supervisor, the field experience coordinator, or the program faculty member. 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