2019-2020 ASCEND Peer Mentoring Leadership Cohort Participant Application
Thank you so much for your interest in applying for the 2019-2020 ASCEND Peer Mentoring Leadership Cohort! Please take a few moments to complete the application in it's entirety. The application should take approximately 10-15 minutes to complete. Cohort participants will be chosen and contacted via email. We look forward to reviewing your information and will be in contact soon. If you have additional questions, please email
What ASCEND participant role are you apply for?
First and Last Name
Age Range (Check One)
Please check the box that best describes your educational history
High School Diploma /GED
Technical School Diploma
Some College Courses
Is your degree in Early Childhood Education ?
I have not yet completed a degree
Name of Childcare Program
Name of Program Administrator/Director
Current Program Star Rating
How many children are enrolled in your classroom?
How long have you worked in the Early Childhood field?
Less than 1 year
How long have you been employed with your current employer?
Less than 1 year
What is your current position?
Assistant Administrator/ Director
Assistant or Co Teacher
What age children do you work with?
Infants (Birth-12 months)
Toddlers (13-30 months)
Preschoolers (30-48 months)
Pre-K (48-60 months)
School Age (5 years+)
I don't work directly with children
Cohort Focus: NC Foundations for Early Learning & Development (NC FELD) Responses
What is your level of comfort with incorporating the NC Foundations for Early & Development Document into your classroom or program setting?
Very Comfortable (I could lead a training)
Somewhat Comfortable (I could use a bit more guidance)
Somewhat Uncomfortable (I could use much more guidance)
Very Uncomfortable (I just don't understand it at all)
How are you currently supporting the emotional and social development of children in your classroom or program? (Please provide specific examples)
How do you guide the health and physical development of the children you work with? (Please provide specific examples)
How do you currently guide learning and children's development in your classroom or program through play? (Please provide specific examples)
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