Student Teaching CPDHs / Waivers

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 Friday, April 10, 2026.

If you have questions about CPDHs or tuition waivers, please contact Mr. Brad Green (coe@eiu.edu or 217-581-2524).

Semester (Fall or Spring) and Year
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 Mr. Green before your Evidence of Completion will be sent. The deadline to return the Evaluation form is Friday, April 10, 2026.

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Student Teaching CPDHs / Waivers

Student Teaching CPDHs / Waivers