CCFLT Mentor Questionnaire
Thank you for providing the information requested below!  

Once you have completed the questionnaire, please write to the CCFLT Mentor Program Coordinator at mentorprogram.ccflt@gmail.com 
so they can create a Mentor profile for you on this "Padlet" page: https://padlet.com/anne_becher/CCFLTMentors.

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Name (first and last) *
Only your first name will be published on your profile
E-mail address *
This will not be published on your profile, it will only be provided to your Mentee after you agree to work with them
Are you a current CCFLT Member? *
Which language(s) have you taught?   *
this will appear in your profile
Phone number *
this will only be shared with your Mentee with your permission
Age level(s) taught... (select all that apply) *
This will be shared on your profile
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? *
this will be shared on your profile
Are you currently, or have you been... *
This will be shared on your profile
Required
If you work/have worked in another area related to the profession, please explain.
Are you retired?
Clear selection
Please indicate your particular areas of experience or strength *
These will be listed on your profile
Required
If you indicated "Other areas" in the previous question, please explain here:
How much time can you commit to mentoring your Mentee per week or per month (e.g. 2 hours/month, 2 hours/week, etc.)
Is there anything else that you would like to share on your profile?
Please feel free to write any message you would like to appear in your profile, including how much time you can devote to helping your Mentee  
Thank you for answering the questions above.  Do you have any questions, comments or concerns to share with the Coordinator?
Thank you!  Now please write to the CCFLT Mentor Program Coordinator at mentorprogram.ccflt@gmail.com so that we can create your profile and send you a draft to approve!
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