University of North Texas 
Appendix F
ACKNOWLEDGEMENT OF CLINICAL TEACHING HANDBOOK
LIABILITY INSURANCE AND WAIVER OF LIABILITY FOR CLINICAL TEACHERS
Note: Clinical Teacher must sign and submit this form before Clinical Teacher Orientation
Legal Name: ______________________________ UNT 8-Digit Student ID# _________________
By my actual or electronic signature below, I acknowledge that:
- I have read, understood, and agree to abide by the standards, policies and procedures set forth or referenced in the University of North Texas Clinical Teaching Handbook.
- I have read, understood, and agree to abide by The UNT Code of Student Conduct during the entirety of my clinical teaching semester/s; and that my failure to do so may result in any or all sanctions allowed by that policy, including but not limited to, loss of Student Good Conduct Standing.
- I have read, understood, and agree to abide by the Texas Educators' Code of Ethics as set forth in Texas Administrative Title 19; Part 7; Chapter 247; and that my failure to do so may result in disciplinary action, including but not limited to, dismissal from my placement and/or non-recommendation for certification.
- I understand that I am obliged to inform my university field supervisor of any changes in my information, such as name, phone number, email address, etc. I also accept responsibility for contacting my supervisor if I have questions, concerns, or need further explanation.
PROFESSIONAL LIABILITY INSURANCE
Clinical Teaching at the University of North Texas is not covered by professional liability insurance through UNT or the public school district. Liability insurance is available through membership in the student branches of the (Texas Classroom Teachers Association at 888-879-8292, or the Association of Texas Professional Educators https://www.atpe.org/en/My-Account/Join. Membership is mandatory and offered to clinical teachers at no charge.
WAIVER OF LIABILITY
By my signature below, I understand and accept the condition that the College of Education at the University of North Texas and the assigned public school district are released from any liability related to accidents or any other unexpected events which may occur in conjunction with my participation in required or voluntary activities during clinical teaching. I acknowledge that it is the recommendation of the College of Education that I obtain general medical/health insurance if I am not already covered.
NOTE: Your signature on this document is required for admission to clinical teaching. This document is located at:
https://unt.az1.qualtrics.com/jfe/form/SV_0IlmKtNMOW9Vbet