Observation Requests and Pre-Clinical Placement

Name (required)

Email (required)

Phone (required)

College/University (required)

Academic Major (required)

Are you a former District 158 student? (required)
NoYes

If yes, through what grade and schools did you attend?

Do you currently have a child attending school in Huntley 158?
NoYes

If yes, what school(s) do they attend? (Select all that apply.)
Early Childhood Center (Pre-K)Chesak Elementary (K-2)Martin Elementary (3-5)Marlowe Middle School (6-8)Mackeben Elementary (K-2)Conley Elementary (3-5)Heineman Middle School (6-8)Leggee Elementary (K-5)Huntley High School (9-12)

Are you related to a Huntley 158 employee? (required)
NoYes

Name of university or college class requiring observation:

Number of observation hours to be completed:

Description of class needed (ex. Regular Education, P.E., Science, Inclusion, Self-contained, etc.):

Grade level requested (select multiple if desired):
—Please choose an option—Preschool1st Grade2nd Grade3rd Grade4th Grade5th Grade6-89-12

Dates you would like to observe (can be specific or range of dates)

A college/university or program letter or syllabus indicating course requirements related to classroom observations must be submitted. Please upload (1MB max) or email your file.

Additional comments or requirements?