SPU Mentor Teacher Information Form 23-24
Dear Teachers, thank you for your willingness to allow our Teacher Candidates to work alongside you this year! Please fill out the following required form within a week of receipt.
Should you have any questions about this form, or anything else related to your mentorship role, please reach out to Rachael Kamwesa at KamwesaR@spu.edu
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Email *
Name *
WA Teacher Certificate Number *
Cell Phone Number
Ethnicity (optional)
School Name *
School District *
Work Phone Number *
Current Grade Level *
Number of years teaching at current level *
Total years of teaching experience *
Former grade levels or teaching assignments *
Teacher Candidate's Name *
Teacher Candidate's Program *
Teacher Candidate's Field Supervisor's name
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