CCFLT Mentee Questionnaire

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Thank you for providing the information requested below! Once you have completed the questionnaire and selected three choices of Mentors from the Mentor Profile page (https://padlet.com/anne_becher/CCFLTMentors), please send your top three choices for a Mentor to mentorprogram.ccflt@gmail.com

Name (first and last) *

E-mail address *

Would you please confirm that you are a current CCFLT member? *

Yes, I am a member

No, I am not a member (If this is your answer, please join CCFLT at CCFLT.org before completing the rest of this Mentee Survey, as you must be a member to participate.)

Which language(s) do you teach? *

Phone number *

this will only be shared with your Mentor with your permission

Age level(s) taught... (select all that apply) *

This will be shared on your profile

Preschool

Elementary

Middle School

High School

Community College

4-year College

Other

Required

If you marked "Other" for the previous question about age level(s) taught, please explain here:

How many years have you worked in the profession? *

Please describe the areas of teaching in which you are seeking support. *

How many hours per month are you hoping to spend in conversation with your Mentor?

Is there anything else the Mentoring Program Coordinator should know, to help her understand what kind of support you are hoping to gain from the program?

Thank you for answering the questions above. Do you have any other questions, comments or concerns to share with the Coordinator?

Thank you for your response! Please now visit the Mentor Profile page (https://padlet.com/anne_becher/CCFLTMentors), and send your top three choices for a Mentor to mentorprogram.ccflt@gmail.com

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