Request edit access
Caliber Teacher Champions - Teacher Application
Thank you for your interest in the 2nd year of the Caliber Teacher Champions program. A successful Teacher Champion relationship requires a commitment from both parties. This agreement provides parameters around your commitment. Should you have any questions, please email
As a participant in Caliber Teacher Champions program, you agree to:
• Serve as a Participating Teacher for the 2019-2020 school year
• Respond to outreach and communications from Teacher Champion
• Respond to surveys and emails from Caliber within a 48-hour time period
• Attend final program event at the end of the 2020 school year
• Engage in the relationship with with respect, integrity, and fun!
What school do you teach at?
What subject(s) do you teach?
English Language Arts
How many years total have you been teaching?
How many years total have you been teaching at Caliber?
What grade level(s) do you teach?
Transitional Kindergarten (TK)
Why you would be a great teacher partner in this program? (1-3 paragraphs)
How might the Teacher Champion support you in achieving your goals as a teacher, and the goals you have for your students?
What's on your wishlist for the 2018-2019 school year in the areas of professional development, classroom support, and community connection?
How would you like to communicate with your Teacher Champion? Check all that apply.
Are any of the items on your wishlist time sensitive? If yes, please explain and provide dates.
Is there anything else we should know about your future mentorship, or your desired Teacher Champion pairing? Questions, concerns, comments?
Page 1 of 1
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service