Student Teaching CPDHs / Waivers - Fall 2024

Please complete and submit this form in order to receive Continuing Professional Development Hours and / or Graduate Tuition Waivers in recognition of your service as a Student Teaching Cooperating Teacher.

The deadline to submit this form is Monday, December 2, 2024.

If you have questions about CPDHs or tuition waivers, please contact Ms. Shannon Bell (sybell@eiu.edu or 217-581-2524).

Cooperating Teacher's Name Cooperating Teacher's Name * First Last
Email *
Student Teacher's Name Student Teacher's Name * First Last
School *
School Address School Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
EIU Graduate Tuition Waivers *

EIU Graduate Tuition Waivers Yes, I would like to receive tuition waivers No, I would not like to receive tuition waivers
Continuing Professional Development Hours *

Continuing Professional Development Hours Yes, I would like to receive CPDHs No, I would not like to receive CPDHs
Continuing Professional Development Hours
As a reminder, if you are requesting CPDHs you must turn in a completed Evaluation form to Ms. Bell before your Evidence of Completion will be sent. The deadline to return the Evaluation form is Monday, December 2, 2024.