Please make sure to print and upload both pages, the signature page and the Exhibit A page. This form must be renewed annually.
Tort Liability Insurance
Submit this form only one time if insurance is waived. You must resubmit the form if tort liability insurance is purchased and has been renewed since your last submission. This form is not required by athletic training majors, who are covered under a group policy through the academic program. This form is only required for students in the College of Education. Non-COE students do not need to complete this form.
Note: For COE students, we highly recommend you purchase tort liability insurance. It can be purchased for a minimal cost through student membership in professional organizations such as GAE or PAGE.
|Agriculture Education||Eric Rubenstein|
|Art Education||Lynn Sanders-Bustle|
|Communication Sciences and Disorders||Sandie Bass-Ringdahl|
|Dance Education||Rebecca Gose|
|Early Childhood Education||Bob Capuozzo|
|Health and Physical Education||Bryan McCullick|
|Mathematics Education||AnnaMarie Conner|
|Middle Grades Education||Gayle Andrews|
|Music Education||Brian Wesolowski|
|Science Education||Julie Kittleson|
|Social Studies Education||Sonia Janis|
|Special Education||Bethany Hamilton-Jones|
|Teaching English to Speakers of Other Languages||Lou Tolosa-Casadont|
|Workforce Education||Elaine Adams|
|Workforce Education - Family and Consumer Science Education|
|World Language Education||Lou Tolosa-Casadont|