TDHH Mentorship Application Form

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Cohort: September 2024 - June 2026
Thank you for your interest in our TDHH Mentorship Programming. Please apply to either or both programs of interest to you. The Complementary programming (Lunch and Learn webinars and Journal Club webinars) will have a separate registration.
Please note that you may not apply for the program without your District support. Your Director will receive a copy of your registration, which will also serve as consent document.

Name *

What degree do you have in Deaf Ed? Where did you study? What year did you graduate? *

School district name and number where you are currently working as a TDHH *

Independent school /other details about your current position

Your Email *

Please check spelling, your confirmation will be sent there

Cell phone *

Mentorship Program choice *

(can make multiple selections)

Professional Community (requires travel to participate) Working group of key stakeholders to provide leadership in provincial initiatives.

Induction and Retention (travel is optional) Targeted professional development with flexible scheduling and format.

Required

Which accessibility accommodations do you require? *

ASL Interpreter

Captioning

None

Required

Name of Director of Instruction *

Or N/A if you are independent consultant

Director's Email *

Your director will receive a copy of your confirmation.

My Director *

Has read the Program Outline and agree to the terms of participation and is granting me permission to commit to the TDHH Mentorship program for a two-year period

N/A - I am an Independent Educational Consultant

Participation Agreement (check all) *

Please refer to the Mentorship booklet for full information about each program.

I have read the Program Outline and agree to the terms of participation.

I understand the time commitment and travel requirements for the program(s) I have registered for.

I agree to commit to the goals of this group for a two-year period.

Required

Other topics or formats? *

Share your ideas for topics we can cover during Lunch and Learn and Journal Club, as well as any other ideas for ProD that is low barrier for busy itinerant teachers.

Thank you for registering.

If you don't receive a confirmation email within 24 hours, please notify office@popdhh.ca. Registrations will be reviewed in the first week of June 2024 and you and your Administrator will be notified at that time whether your registration is successful.

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