Teacher-in-Training Extension Application

Important Note Regarding Extension Fee: Please note that a 10% charge of your tuition will be applied to the remaining program fees to support continued mentoring and operational services during the 6-month extension. This fee ensures you receive the guidance and resources needed to successfully complete the program and your practicum experiences.

Applicant Information:

Name

First Name

Last Name

Current Training Program:

(What program are you current in?)

Start Date of Current Training Program:

(when did your program start?)

Current Expected End Date of Training Program:

(When is the current program expected to end)

Phone

(###)

###

####

What is the specific requested new end date?

Briefly describe the reason(s) for your request for a program extension. Please be specific.

Outline your progress in the current training program to date. Please include any specific skills or competencies you have developed.

Detail your plan for utilizing the additional 6-month extension to successfully complete your training program requirements. Include specific goals and timelines.

Have you discussed this extension request with your mentor, teacher or program supervisor?

If yes, please provide their name and title.

Are there any specific resources or support that would be particularly helpful to you during this extension period?

I certify that the information provided in this application is accurate and complete to the best of my knowledge. I understand that the granting of this extension is subject to review and approval by the leadership team.