DE Mentor Application

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

I'm so glad you're interested in becoming a DE Mentor to support colleagues who are new to online teaching! This will really make a difference for our students. Please complete this application by Friday, February 5, 2021.

Maritez Apigo
CCC Distance Education Coordinator
mapigo@contracosta.edu

First and Last Name *

Email Address *

Department *

Are you a part-time or full-time faculty member? *

Part time

Full time

How many years have you taught online? *

Please describe your online teaching training. *

How would you rate your Canvas knowledge? *

Novice

Expert

How would you rate your online teaching skills? *

Novice

Expert

Why are you interested in becoming a CCC DE Mentor? *

If you are accepted as a mentor, how many mentees would you like to support this semester? *

[Optional] Use this space for any questions or comments.

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms