MILLERSVILLE UNIVERSITY STUDENT TEACHING

BACKGROUND INFORMATION FORM

Mr.

Ms.

Mrs.

Miss

FULL NAME: Colleen Acebo

MU ID #: MOO386563
EMAIL: cmacebo@millersville.edu
MAJOR: Sped/Early Childhood
LOCAL ADDRESS: 119 New Haven Drive Lititz PA 17543
PERMANENT ADDRESS: Same as above
ADDRESS WHILE STUDENT TEACHING:
Local
Permanent
CELL PHONE: (717) 875-3595
LOCAL PHONE: () -
PERMANENT PHONE: (717) 627-0406
Employment
Will you be employed during student teaching?
Yes
No
If yes, how many hours per week? 9 Type of work? Ballet Teacher
(MU recommends you limit your working as much as possible during student teaching)
Courses
Will you be taking a course during student teaching?
Yes
No
If yes, what course and when?
(Only one course is permitted and MU recommends you try not to take any courses)
Commitments
Will you have on-campus commitments during student teaching?
If yes, please list (ie., athletics, clubs, organizations)

Yes

No

Extracurricular
Please list your extracurricular activities/hobbies/recreational activities: Dance, Vocal, Drama, Art
Have you worked with/interacted with children/students other than in a classroom setting?
Yes
No
If so, please explain: I am a leader with Crossover Student Ministries, a ballet teacher, Sunday
school teacher, Nanny, big sister and volunteer at the local elementary school.
List your traveling experiences: I have traveled to four different countries including Romania, Spain,
Ecuador, and England. Additionally, I have traveled to Fl, ME, KY, SC, NJ, DL, MI, OH, NY, CT, MA,
MD, VA, UT, PA, and IN within the United States of America.
What type of position do you hope to obtain after graduation? Ideally, I would like to be a coteacher or
a learning support teacher. I would also enjoy being a general education classroom teacher.
List any special health concerns your co-workers should know:
(If you would like to discuss this item privately, please check here )
If married, please list spouses name, occupation and childrens names/ages:

High School / College / University Record

High School Name: Home School
Location: 119 New Haven Drive Lititz PA 17543
Graduation Date: 05/21/2010
List high school honors / activities: Preforming Arts
Please describe your college/university status:
Undergraduate student at Millersville University
When did you enter MU? Fall 2010 When do you plan to graduate? Spring 2014
Post-baccalaureate certification student
When do you plan to complete your course requirements for certification?
Please list degrees held:
Other colleges/universities attended including names and dates of attendance: Lancaster Bible College
and Harrisburg Area Community College
List college/university honors/activities: Highschool Duel Enrollment
List courses (by titles) completed or presently being taken in major field(s) only:
(For example: Foundations of Modern Education; not EDFN 211)
Course Title
Course Title
Diagnostic Reading
Social Studies for the Young Learner
Literature for the Young Child
Teaching Young English Language Learners
Design/Implement Instruction
Instructional Technology in Elementary
Education
Foundations of Modern Education
Psych Foundations of Teaching
Foundations of Reading
Applied Foundations of Contemperary Special
Ed
Language Develoment and Emergent Literacy
Severe Disabilities in Inclusive Settings
Early Intervention to Kindergarten
Teaching Literacy PreK-4
Teaching Math to Young Children
Science For the Young Learner
Positive Learning Envioronments for All
Assessment for Mild/ Modern Disabilities
Support for Specialized Curriculum
Effective Instruction for Students w/ Disabilities
Individualized Education Planning
Reflective Practices
Discrim/Oppress of People w/ Disabilities

Please read and sign:

I understand that as a student teacher I am representing Millersville University and am a guest in
the host school. I understand that I am subject to the rules and regulations of the school district to which
I am assigned.
_______________________________________________________
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Signature

Date