22- MENTOR TEACHER APPLICATION FORM
I AM INTERESTED IN BEING CONSIDERED FOR THE POSITION OF MENTOR.  I UNDERSTAND THAT THE ROLE OF A MENTOR IS A CRITICAL FACTOR IN THE SUCCESS OF A NOVICE TEACHER.

DIRECTIONS:
Answer the following questions and hit the submit button to be considered for a mentor position.
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Email *
THIS APPLICATION WILL BE SUBMITTED TO THE OFFICE OF ELEMENTARY SERVICES AND THAT OFFICE WILL REVIEW WITH THE PRINCIPAL OF THE PARTICULAR SCHOOL. ONCE APPROVED BY THE PRINCIPAL THE MENTOR WILL BE PLACED ON THE BOARD OF EDUCATION AGENDA FOR THE NEXT BOARD MEETING.
Name *
School *
Please check the following if it pertains to you. *
Required
I am continuing my mentor-ship from the prior year. Enter the mentor name below.
Subject/Grade Level Taught *
Number of years in the district *
Why do you want to be a mentor? *
What abilities and experiences do you bring to the process of mentoring beginning teachers? *
In what professional development activities have you participated? *
To what professional organizations do you belong? *
As required by state regulations, I understand I must attend the Mentor Induction Classes for my personal growth and development as a mentor.  If selected as Mentor Teacher, I agree to assist the  Novice Teacher through one-on-one discussion, sharing ideas and resources, possibly observing them teaching, and, if my principal permits and school is in session, allowing the Novice Teacher to observe some of my classes, I agree to share as much time and experience as possible with the Novice Teacher. *
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