Request edit access
Mentor Coaching Needs & Information
Thank you for your interest in furthering your commitment to restorative justice and anti-racist work in education. As a restorative justice educator, I believe this work is on going and as educators it is our responsibility to become more culturally competent for our students.

In order to support your growth, please provide some information on your school, position, and any specific needs you may have. With the mentoring program, you will receive specific instruction and feedback where you feel growth is needed. Sessions will be catered to develop ideas for units, lessons, school implementation and will develop strategies for educators' future use.

Looking forward to working with you and once again thank you for your commitment to this work in education.  
Name (First & Last) *
Email *
School/Organization *
Position (Teacher- Content Area, Administration, RJ Coordinator, Dean)
Which area are you interested in receiving mentor services?
Why are you seeking mentor support?
Which session options are you interested? (Prices vary)
Sessions occur after work hours and on weekends. Please select a time frame that would work best for you,
Acknowledging racial inequities, will you need financial accommodations? (Rates will be adjusted to support educators seeking accommodations)
Clear selection
In order to support all educators, are you able or willing to make a donation?
Clear selection
What are some goals you hope to accomplish by receiving mentor services?
Anything you would like us to know
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy