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2018-2019 Application for STP Mentoring Program - Mentees
Thanks for your interest in participating in STP's Professional Development Mentoring Program. Please answer the following questions regarding your demographic information and expectations for your mentoring experience. The more information you provide regarding your needs and expectations, the more equipped we will be to facilitate a good “match” between mentor and mentee. We will attempt to match everyone but cannot promise to do so. If you have any questions, please contact
Name *
First and last name
Your answer
Email *
Your answer
Preferred Phone number *
Your answer
Institutional Affiliation:
Your answer
Type of Institution
Prior Affiliations and Type of Institution
Your answer
Population You Primarily Teach
Rank *
Typical Classroom Size
Most Commonly Used Teaching Format (choose up to three)
How many years have you been teaching full-time? (If none, just say none).
Your answer
How many years have you been teaching part-time? (If none, just say none).
Your answer
Have you been mentored previously? If yes, please briefly describe that experience.
Your answer
What do you hope to gain from being mentored?
Your answer
How often do you expect to interact with a mentor?
What are your preferred methods of interacting with a mentor?
List the courses you teach on a regular basis.
Your answer
Please choose the top three topics you would like to discuss with a mentor.
In which of the areas of teaching practice would you want guidance? Check all that would apply
In which of the following areas of professional development would you want guidance?
Please describe your scholarly interests related to teaching. Note if you attend teaching conferences or conduct research on the Scholarship of Teaching and Learning.
Your answer
What other ways, if any, would you want to be involved with the Mentoring Program?
Is there any other information you would like to share?
Your answer
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