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Stanislaus County Teacher Induction Mentor interest form
Enrollment for 22-23 opens on July 1st. Please complete the form below to be contacted in May/June.
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Your Name
*
Your answer
Your preferred email address:
*
Your answer
Your preferred phone number
*
Your answer
Your preferred method of contact
*
E-Mail
Phone
Please select your status
Current teacher
Retired teacher
Other:
Clear selection
District of current/last Employment (Please do not abbreviate)
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Your answer
City of Employment
*
Your answer
My clear credential(s) is in:
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General Ed (Preliminary Multiple Subject, Preliminary Single Subject)
Special Ed (Preliminary Education Specialist, Education Specialist Level I)
Both General and Special Ed
Other:
Areas you are willing to mentor teachers from:
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Modesto
Empire
Newman-Crowslanding
Keyes
Oakdale
Patterson
Any Stanislaus County
Calaveras County
Tuolumne County
Other:
Required
Any other information you would like to provide:
Your answer
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