Mentor/Mentee Registration 2019-2020
Final Date for Registration: August 30th
Email address *
Name (First and Last) *
Your answer
I am a *
Your School District Name and Address *
Your answer
Phone Number
Your answer
Principal's Name *
Your answer
Principal's Email Address *
Your answer
With which grade levels do you work? (Check all that apply) *
Required
MSCA Regional Information
Please Identify the MSCA Region that you will be working in for the 2019-2020 School Year.

Region # Name and Counties:

1 Northwest- Andrew, Atchison, Buchanan, Caldwell, Clay, Clinton, Daviess, DeKalb, Gentry, Grundy, Harrison, Holt, Livingston, Mercer, Nodaway, Platte, Ray and Worth; with the exception of the school districts of Excelsior Springs, Kearney, Liberty, North Kansas City and Smithville in Clay County; Park Hill and Platte County R-III in Platte County; and Richmond in Ray County.

2 Greater Kansas City- The school districts of Excelsior Springs, Kearney, Liberty, North Kansas City and Smithville in Clay County; Park Hill and Platte County R-III in Platte County; and Pleasant Hill and Belton, Raymore-Peculiar in Cass County, as well as Jackson County.

3 Central- Bates, Benton, Carroll, Cass, Henry, Hickory, Johnson, Lafayette, Miller, Moniteau, Morgan, Pettis, Saline and St. Clair, as well as the school districts of Lone Jack in Jackson County and Richmond in Ray County, with the exception of Belton, Pleasant Hill, and Raymore-Peculiar in Cass County.

4 Southwest- Barry, Barton, Camden, Cedar, Christian, Dade, Dallas, Douglas, Greene, Howell, Jasper, Laclede, Lawrence, Newton, McDonald, Oregon, Ozark, Polk, Shannon, Stone, Taney, Texas, Vernon, Webster and Wright.

5 Northeast- Adair, Chariton, Clark, Knox, Lewis, Linn, Macon, Marion, Monroe, Putnam, Ralls, Randolph, Schuyler, Scotland, Shelby and Sullivan.

6 Mid-Missouri- Audrain, Boone, Callaway, Cole, Cooper, Gasconade, Howard, Lincoln, Montegomery, Osage, Pike and Warren.

7 South Central- Crawford, Dent, Franklin, Maries, Phelps, Pulaski, and the Iron County C-4 School District in Iron County.

8 St Louis Suburban- St. Charles and St. Louis.

9 Jefferson County

10 Southeast- Butler, Bollinger, Cape Girardeau, Carter, Dunklin, Iron, Madison, Mississippi, New Madrid, Pemiscot, Perry, Reynolds, Ripley, St. Francois, Ste. Genevieve, Scott, Stoddard, Washington and Wayne, with the exception of Iron County C-4 School District in Iron County.

MSCA Regions
Select your MSCA Region: *
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service