Cooperating Teacher Information

Thank you kindly for the great work you do and for finding the time for our student teachers! Please complete the following so that the University may begin entering you into our system and the EPSB system. We will be in touch with next steps via the email you enter below.

Contact Information

First Name

Last Name

Date of Birth

Year/Month/Day

EPSB User ID

Primary Phone

Your E-Mail Address

Secondary Email

Current Street Address

City

State

Zip Code

Name of Your School District/County

Name of Your School

Name of your University of Louisville Supervisor

Name(s) of your student teacher(s)

Please answer the following