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Office of Field Experience

UMW Office of Field Experience Supervising Teacher Paperwork Instructions:

Thank you for supervising UMW Education students in your classroom.  Be sure to keep a record of the students you are supervising and include their names on the supervising teacher contract.

All payment forms must be completed and submitted to the UMW Office of Field Experience by the following semester deadlines to ensure prompt payment:

     Fall Semester:  January 1     Spring Semester:  May 1

All forms are form-fillable. The supervising teacher contracts and the Payroll Data Form can be signed electronically and submitted by email. I-9 and W-4 tax forms must be printed out and signed. They can then be scanned and submitted by email. All forms can also be faxed to 406-683-7662.

Include a copy of your unexpired passport or copies of two forms of acceptable identification (one from list B AND one from list C on page 3).

To submit paperwork electronically, scan your paperwork and email as an attachment to:

Paperwork can also be submitted by mail. Send to:

Office of Field Experience
Box 122
710 S. Atlantic
Dillon, MT  59725
Or submit by fax:



Please print, complete, and submit all forms by the semester deadline.

1.  Payroll Data Form:  Supervising teachers must complete the first three sections of the payroll data form. In the section titled “Designation of Person Authorized to Receive Decedent’s Warrants”, please do not designate yourself as a beneficiary. Payroll Data Form is available here.

2.  Supervising Teacher Contract: Complete and sign the supervising teacher contract. Be sure to include number and names of students supervised each semester.

2018-2019 Field Experience/Rural Fridays Contract is available here.

2018-2019 Student Teaching Supervising Teacher Contract is available here.

2018-2019 University Supervisor Contract is available here.

* Forms I-9 and W-4 must be submitted every 3 years. If you have completed an I-9 and W-4 for UM-Western in the past three years, you do not need to submit the I-9 and W-4. 

3.  Form I-9: Supervising teachers must complete all of Section 1 of form I-9 (page 1) and complete the Employee Last Name, First Name and Middle Initial box in Section 2 (page 2). Include a copy of your unexpired passport or copies of two forms of acceptable identification (from lists B and C on page 3). Form I-9 is available here.

4.  Form W-4: Complete sections 1-7, then sign and date. Form W-4 is available here.

Questions about the payment process?

Contact Connie Beck at the UMW Office of Field Experience at 406-683-7636.

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