Butte Teacher Induction Candidate Application
Welcome to the Butte Teacher Induction Program! We are extremely excited to embark upon this learning journey with you as you continue to grow as a professional educator. Our Butte Teacher Induction Program is designed for General Education (Multiple & Single Subject) and Education Specialist teachers that hold a preliminary teaching credential and are wanting to obtain a clear teaching credential.

We appreciate you taking the time to complete this application as this information will ensure a smooth transition into our program and provide us with needed information as we match you with a highly-qualified mentor.  

Please do not hesitate to contact us if you have any questions or concerns as we are here to support you.

Tracey Allen
Senior Director of Professional Learning
tallen@bcoe.org
530-532-5730

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Email *
CONTACT INFORMATION
Preferred Email for All Induction Communication *
First Name ONLY *
Last Name ONLY *
Maiden/Other Name
Preferred Pronouns *
Home/Mailing Address *
City *
Zip Code *
Primary Phone Number *
Birthdate *
MM
/
DD
/
YYYY
Social Security Number (This allows us to fully view your Preliminary Credential on the CTC website and advise you on your credential requirements.) *
Demographic Information
Assembly Bill 677 requires the Commission on Teacher Credentialing (CTC) to collect gender identity and sexual orientation information in the course of regular collection of demographic data.
Gender *
Race/Ethnicity (check all that apply) *
Required
Please indicate where you completed your preliminary teaching preparation. *
EMPLOYMENT INFORMATION
Name of School District/Charter School *
Name of School Site *
School Address (street, city, zip) *
Grade level (Check all that apply) *
Required
If you teach a Single Subject, please list the subject(s) you teach.
If you are a Special Education Teacher, please describe your assignment (i.e. self-contained classroom, push-in model, pull-out model, resource, etc.).
Principal/Site Administrator's Name (First and Last) *
Principal/Site Administrator's Email *
If applicable, how many years have you been teaching? Please note this does not include student teaching, internships or substitute teaching.  *
Name of Mentor (if known)
PROFESSIONAL INFORMATION
Will this be your first or second year of Teacher Induction? Please select the option that best describes your induction placement. *
Are you new to the Butte Teacher Induction Program? *
Mark all of the Assessments you still need to complete. If you are unsure about your needed authorization, please check the CTC website or contact our team. *
Required
Please check all of the credential(s) you currently hold. *
Required
If you hold a Single Subject Credential or Education Specialist: Other Credential, please indicate the subject/specialty area.
Credential Document Number (This can be found on the CTC website.) Learn more about this needed information here! *
Second Credential Document Number, if applicable (This can be found on the CTC website.)
If you hold a 2nd Single Subject Credential or Education Specialist: Other Credential, please indicate the subject/specialty area.
What is the name of the college/university that issued your Preliminary Credential? *
PAYMENT INFORMATION:
The cost of the Butte Teacher Induction Program is $3,600 per year, which includes a mentor stipend of $1,800. Please choose an option below regarding fiscal responsibility.
Please select a payment option:
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DISCLAIMER
I understand that completing an induction program to clear my teaching credential is my responsibility.  If I do not hear from the Butte Teacher Induction Program within the first 30 days of me submitting this form, I will make contact with the program to inquire about my status in the program by contacting Tracey Allen at tallen@bcoe.org  *
A copy of your responses will be emailed to the address you provided.
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